Back to Search
Start Over
Application strategy of PiCCO in septic shock patients
- Source :
- Experimental and Therapeutic Medicine
- Publication Year :
- 2016
- Publisher :
- D.A. Spandidos, 2016.
-
Abstract
- Septic shock, also known as infectious or toxic shock, is a medical condition caused by severe infection and sepsis. Early identification, timely diagnosis and effective treatments are imperative to prevent this medical condition. The aim of the present study was to examine the application of pulse index continuous cardiac output (PiCCO) technique in the treatment of septic shock patients. Fifty septic shock patients were randomly divided into the conventional detection group (group C, n=25) and the PiCCO detection group (group P, n=25). A central venous catheter and radial artery catheter were placed into the patients of group C and a central venous catheter and PiCCO catheter (through femoral artery) were placed in the patients of group P to detect haemodynamics, which was managed and treated according to early goal-directed therapy (EGDT). PiCCO was applied to monitor and guide the application of fluid resuscitation, vasoconstriction drugs (dopamine) and positive inotropic drugs (dobutamine). The EGDT qualified rate of patients from the two groups at the 6th h of treatment, changes of post-resuscitation relevant parameters [blood lactate level, central venous oxygen saturation (ScvO2), central venous pressure (CVP), mean arterial pressure (MAP) and urine volume], positive fluid balance quantity and the dosage of dopamine and dobutamine at the 6th, 24th and 48th h were observed. In comparison to group C, group P showed an increase in the EGDT qualified rate and ScvO2 at the 6th h of treatment while the blood lactate level was decreased. The positive fluid balance quantity at the 6th and 24th h and the dosage of dobutamine were increased while the dosage of dopamine was reduced (P0.05). There was also no statistical significance in terms of the differences of CVP, MAP and urine volume in the two groups (P>0.05). In conclusion, under the monitoring and guidance of the PiCCO technique, EGDT treatment should be applied to septic shock patients together with early fluid resuscitation and positive inotropic drugs instead of using only vasoconstriction drug, which cause elevation of blood pressure.
- Subjects :
- Cancer Research
Cardiac output
early goal-directed therapy
medicine.medical_treatment
pulse index continuous cardiac output
Sepsis
03 medical and health sciences
0302 clinical medicine
Immunology and Microbiology (miscellaneous)
medicine
business.industry
Septic shock
Central venous pressure
030208 emergency & critical care medicine
General Medicine
Articles
medicine.disease
Blood pressure
Anesthesia
Shock (circulatory)
septic shock
030211 gastroenterology & hepatology
Dobutamine
medicine.symptom
business
Central venous catheter
medicine.drug
Subjects
Details
- Language :
- English
- ISSN :
- 17921015 and 17920981
- Volume :
- 11
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Experimental and Therapeutic Medicine
- Accession number :
- edsair.doi.dedup.....9ff989b1359f24d1ecaa13dff055f5a1