Applying Functional Hemodynamics: A Goal-Directed Strategy

Webinar Summary

Optimal fluid therapy is a cornerstone in the care of critically ill patients. Unstable patients often receive undirected fluid therapy guided by a static pressure measurement as a first-line intervention; yet only half of these patients respond favorably. In practice, static parameters of preload do not reliably assess the response to fluid. Dynamic parameters obtained through arterial-based pressure technologies are shown to be better predictors of preload responsiveness, and simple maneuvers — such as the passive leg raise — can provide patients with a “reversible physiologic” fluid challenge.

The ability to determine the “just right” amount of fluid and tailor fluid therapy to the needs of the patient enhances outcomes. In this webinar, Jan Headley will discuss the principles, strategies and application of functional hemodynamics and how to integrate them into your practice to optimize patient care.

Objectives

Describe the fundamental principles of functional hemodynamics and how they relate to nursing care considerations.
Define the mechanisms and associated dynamic parameters used to assess preload responsiveness.
Identify strategies for determining the individual patient’s appropriate Starling curve location to optimize fluid status.

Presenter

Jan M. Headley, RN, BSHS

Jan Headley is the principal of Consultants in Acute and Critical Care, an independent consulting group serving clinicians and medical associations. Her previous experience includes management and clinical instructor roles at two Southern California hospitals, as well as training, education and clinical marketing positions with major medical companies. Headley, a 44-year AACN member and lifetime member of the Southeastern Pennsylvania Chapter, has lectured extensively on hemodynamics and oxygenation monitoring both nationally and internationally. She has over 45 publications to her name and has participated on numerous editorial boards. Some of Headley’s most notable achievements include: recipient of the 2007 Edwards Lifesciences Swan Ganz Lifetime Achievement Award, nominee for the 2004 Society of Critical Care Medicine (SCCM) Norma Shoemaker Nursing Excellence Award and recipient of the 1999 SCCM President’s Citation.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.

Accreditation

The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.

Disclosure

Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

Refund Policy

Continuing Education Activities are nonrefundable.