Pulse-indicated continuous cardiac output monitoring technique in exertional heat stoke patients
JIANG Teng-xuan
CUI Yan
WANG Ling
YANG Zhong-qian
JIN Hong-xu
Abstract：Objective To investigate the clinical value of the pulse-indicated continuous cardiac output( PiCCO) monitoring technique in guiding exertional heat radiation disease. Methods A retrospective study was performed on 48 patients with heat stroke from January 2012 to August 2016. The experimental group using PiCCO monitoring indicators to guide 23 pa-tients in fluid resuscitation,the control group using the central venous pressure( CVP) as guidance index of fluid resuscita-tion. The clinical index such as the ICU admission time,mechanical ventilation time,continuous renal replacement therapy ( CRRT) time,the outcome of distribution,APACHE Ⅱ score,liquid intake of resuscitation after 8 hours,24 hours and 72 hours,mean arterial pressure( MAP) ,CVP,central venous blood oxygen saturation( ScVO2 ) ,blood oxygen partial pressure/oxygen content in gas( PaO2/FiO2 ) ,arterial lactic acid( Lac) in the two groups were compared and analyzed. Results The ICU admission time,duration of mechanical ventilation and CRRT time in the control group were significantly higher than those in the experimental group. The differences had statistical significance(χ2 = -3. 022,P<0. 05;χ2 = -7. 474,P<0. 05;χ2 = -3. 500,P<0. 05). The distribution and APACHE Ⅱ score in the two groups had no statistical significance (χ2 =0. 510,P>0. 05;χ2 = -0. 853,P>0. 05). Fluid resuscitation after 8 hours,the liquid intake in the experimental group(3 597 ±2 413)ml was less than that in the control group(4 257 ±2 241)ml(P<0. 05);PaO2/FiO2 in the experi-mental group(132. 04 ± 23. 10)mmHg was more than that in the control group(128. 57 ± 18. 64)mmHg(P<0. 05). Lac in the experimental group(6.98 ±4.25)mmol/L was less than that in the control group(7.05 ±4.65)mmol/L(P<0.05). The rest of the indicators in the two groups,there were no statistically significant difference. Conclusion PiCCO monitoring technique is more accurate than the CVP in liquid management. It can reduce blindness rehydration,shorten the duration of mechanical ventilation,ICU admission time and CRRT time.
Keywords：Pulse-indicated continuous cardiac output(PiCCO)Heat strokeFluid resuscitationContinuous renal replacement therapy
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 290-293 )