Instant feedback + full explanation. One question, done properly.
HardCardiovascular & HaemodynamicsPiCCO - GEDI and ELWIuk-fficm
A 48-year-old man on ICU has septic shock from pneumonia. After initial fluid resuscitation and vasopressor commencement, the team measures his cardiac output using thermodilution via a PiCCO device. GEDI (global end-diastolic volume index) is 650 mL/m² (normal 680-800 mL/m²), ELWI (extravascular lung water index) is 8 mL/kg (normal <7), SVR is 600 dyn·s/cm⁵, CI is 3.8 L/min/m². What does the GEDI suggest about further fluid management?