Hemodynamic Algorithm - Flowchart
Hemodynamic Algorithm - Flowchart Hemodynamic Algorithm Hemodynamic Algorithm
«Flowchart»

Start

Start

Start

Cardiac output/cardiac index
4-8 L/min
2.5-4.5 L/min

Cardiac output/cardiac index
4-8 L/min
2.5-4.5 L/min

Cardiac output/cardiac index
4-8 L/min
2.5-4.5 L/min



Volume
Colloids
Crystalloids
Blood
Hetastarch

Volume
Colloids
Crystalloids
Blood
Hetastarch

Volume
Colloids
Crystalloids
Blood
Hetastarch

Volume



End

End

End

High

High

High

Low

Low

Low

Hypotension

Hypotension

Hypotension

Dysrhythmia control
Drugs
Pacemaker

Dysrhythmia control
Drugs
Pacemaker

Dysrhythmia control

Dysrhythmia control

Positive inotropes
Dobutamine
Dopamine
Milrinone

Positive inotropes
Dobutamine
Dopamine
Milrinone

Positive inotropes
Dobutamine
Dopamine
Milrinone




Beta blockade
Propranolol

Beta blockade
Propranolol

Beta blockade
Propranolol


High

High

High

Low

Low

Low

High

High

High

Low

Low

Low

Vasopressors
Epinephrine
Norepinephrine
Dopamine
Neosynephrine

Vasopressors
Epinephrine
Norepinephrine
Dopamine
Neosynephrine

Vasopressors



Vasopressors

IABP
Pumping Ratio (1:2 or 1:4)

IABP
Pumping Ratio (1:2 or 1:4)

IABP
IABP

Decreased

Decreased

Decreased

Preload
CVP 2-6 mm Hg

Preload
CVP 2-6 mm Hg

Preload
Preload

Contractility
SVI or RVSWI or LVSWI
33-47 / 7-12 cc/m2/beat
35-85 g/m2/beat

Contractility
SVI or RVSWI or LVSWI
33-47 / 7-12 cc/m2/beat
35-85 g/m2/beat

Contractility

2
2 Contractility

Afterload
PVR or SVR
27-250 / 800-1,200 dynes sec/cm5

Afterload
PVR or SVR
27-250 / 800-1,200 dynes sec/cm5

Afterload

5 Afterload

Dilators
NTG 1 µg/kg/min
Nitroprusside

Dilators
NTG 1 µg/kg/min
Nitroprusside

Dilators

Dilators

Diuretics
Furosemide
Bumetanide
Ethacrynic acid
Mannitol

Diuretics
Furosemide
Bumetanide
Ethacrynic acid
Mannitol

Diuretics



Diuretics

Dilators
Nitroprusside
NTG >1 µg/kg/min

Dilators
Nitroprusside
NTG >1 µg/kg/min

Dilators

Dilators

IABP
Pumping Ratio (1:1)

IABP
Pumping Ratio (1:1)

IABP
IABP