Application of PICCO During Anesthesia of Patients Undergoing Transcatheter Ventricular Isolation Plasty Due to Left Ventricular Aneurysm

Xu, Guiping; Zhang, Yuxuan; Wang, Quansheng; Su, Tan; Mei, Jing; Li, Ruixuan; Qiang, Yan

doi:10.1532/hsf.2135

Cited by 1 publication

(1 citation statement)

References 13 publications

(14 reference statements)

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“…However, the reduction in these parameters was more significant in the RG probably due to the ability of the PiCCO monitoring technique to accurately assess the volume status more comprehensively, thus reducing cardiac load and fluid infusion, maintaining effective tissue perfusion, improving tissue hypoperfusion, and reducing inflammatory reactions. 20-22…”

Section: Discussionmentioning

confidence: 99%

The Application of PiCCO-guided Fluid Resuscitation in Patients With Traumatic Shock

Liu

Ding

2022

The American Surgeon™

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Background The aim of this study was to evaluate the application of pulse contour cardiac output (PiCCO) in patients with traumatic shock. Methods Seventy-eight patients with traumatic shock were included and grouped. The control group (CG, n = 39) underwent fluid resuscitation through transthoracic echocardiography (TTE) monitoring, and the research group (RG, n = 39) received PiCCO-guided fluid resuscitation. Results The mechanical ventilation time, duration of vasoactive drug use, and duration of stay in the intensive care unit were lower in the RG compared to the CG (P < .05). At 72 h after fluid resuscitation, the mean arterial pressure and central venous pressure in the RG were higher than those in the CG (P < .05). The stroke volume variation and distensibility index of the inferior vena cava were lower at 72 h after fluid resuscitation, but the levels of extravascular lung water, global end-diastolic volume index, and intrathoracic blood volume index were higher in the RG (P < .05). The levels of endothelial 1, nitrogen monoxide, tumor necrosis factor-α, procalcitonin, C-reactive protein, and partial pressure of carbon dioxide at 72 h after fluid resuscitation in the RG were lower than those in the CG (P < .05). Conclusion PiCCO-guided liquid resuscitation may help to accurately evaluate the volumetric parameters, alleviate symptoms of ischemia and hypoxia, regulate hemodynamics and blood gas analysis, reduce inflammatory reactions, improve endothelial functions, and effectively guide the usage of vascular active drugs.

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Section: Discussionmentioning

confidence: 99%