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You are here: Archive 2019 Medica 1 Pag 117

HEMODYNAMIC MONITORING AND PROGNOSTIC EVALUATING VALUE OF PiCCO IN PATIENTS WITH CARDIOPULMONARY RESUSCITATION WITH DIFFERENT PROGNOSIS

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Authors

HANWEN TONG, YUN LIU, JUN WANG, PENG XU, MIN JIANG, JIE NI, FANG WANG

Departments

Department of Emergency Medicine, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing,210008, China

Abstract

Objective: PiCCO performs hemodynamic monitoring of patients with cardiopulmonary resuscitation with different prognosis.

Method: This article reviews and analyzes the hemodynamic monitoring indicators of PiCCO in 35 patients with cardiopul- monary resuscitation (CPR) after spontaneous circulation recovery (ROSC) parallel target temperature management. According to whether 30 days after the onset of death, it was divided into group A (survival group) and B Group (death group), comparing differ- ences in hemodynamic parameters, which are heart rate (HR), mean arterial pressure (MAP), and central venous pressure (CVP) at T1 (immediately after ROSC), T2 (12h after ROSC), T3 (24h after ROSC), and T4 (48h after ROSC). Extravascular lung water (EVLW), pulmonary vascular permeability index (PVPI), cardiac output index (CI), total end-diastolic volume (GEDV), intrathoracic blood volume (ITBV), peripheral vascular resistance index (SRVI), and so on.

Results: There was no significant difference in age and sex between the two groups. The time points T3 and T4 in group B decreased compared with the time point T1. The time points T3 and T4 decreased compared with the time point T2. The MAP of group A and group B was significantly higher than that of T1 at T2, T3, and T4. The CVP of group A and group B was significantly higher than that of T1 at T2, T3, and T4. The EVLWI of group B was at T1. The time point T2 was significantly higher than that of the group A.The ITBVI of group A was higher than that of group B at T4. The SVRI time point T4 is lower than the time point T1, the time points T3 and T4 are lower than the time point T2.

Conclusions: HR, MAP, CVP, PVPI, CI, GEDV, ITBV, SRVI have no significant predictive value for the prognosis of patients after CPR.

Keywords

cardiopulmonary resuscitation, hemodynamics, PiCCO monitoring

DOI:

10.19193/0393-6384_2019_1_19

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