Trang: 84
Tập 33, số 8 2023
Relationship between PiCCO parameters and achieving target blood pressure in early resuscitation of patients with septic shock at Khanh Hoa general hospital, Khanh Hoa province in 2023
Tác giả: Nguyen Luong Ky, Bui Tuan Anh, Tran Minh Thanh, Nguyen Hoai Lam, Tran Hong Quan, Lang
Thai Hoa, Dao Ngoc Anh, Dinh Viet Hung, Nguyen Duc Long, Huynh Duc Hung
Tóm tắt:
Hemodynamic resuscitation guided by the Pulse Contour Cardiac Output (PiCCO) system is an advanced, reliable
and minimally invasive method. In prospective interventional study, 40 patients with septic shock admitted to the Intensive Care Unit of Khanh Hoa General Hospital from August 2022 to September 2023. Measure PiCCO parameters
at several times. The rate of achieving target blood pressure at the time 1 hour (T1) was 87.5% (n = 35), at the time
3 hours (T3) was 90.0% (n = 36). At T1 and T3, Global End-Diastolic Volume Index (GEDVI), Extravascular Lung
Water Index (EVLWI) and Systemic Vascular Resistance Index (SVRI) were related to achieving target blood pressure (p < 0.05). At T1, there were significant differences exist between two groups: GEDVI (764.2 ± 172.8 vs 659.4 ±
26.5mL/m2, p = 0.02); EVLWI (10.4 ± 2.6 vs 13.9 ± 2.79mL/kg, p = 0.02); SVRI (1658.8 ± 594.1 vs 1094.8 ± 135.2DS/
cm5/m2, p = 0.01). At T3, after urgent resuscitation, the significant differences between groups were: GEDVI (756.3 ±
141.1 vs 668.0 ± 10.3mL/m2, p = 0.01); EVLWI (10.9 ± 2.9 vs 14.1 ± 1.8mL/kg, p = 0.03); SVRI (1676.67 ± 628.3 vs
1127 ± 370.3DS/cm5/m2, p = 0.049). Early resuscitation according to the guidance of the PiCCO system helps achieve
target blood pressure better in patients with septic shock. GEDVI, EVLWI and SVRI are indexes on the PiCCO system
related to achieving target blood pressure.
Summary:
Từ khóa:
PiCCO parameters; target blood pressure; early resuscitation
DOI: https://doi.org/10.51403/0868-2836/2023/1481
File nội dung:
o230884.pdf
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