Fliud management by PICCO in patients with severe heart failure
10.3760/cma.j.issn.1674-2907.2012.30.034
- VernacularTitle:应用PICCO监测指标指导严重心力衰竭患者容量管理的效果
- Author:
Qing HU
1
;
Qin JIN
;
Nian-Jian WANG
Author Information
1. 224006,江苏省盐城市第一人民医院重症医学科
- Keywords:
Heart failure;
Nursing;
Fliud management;
PICCO
- From:
Chinese Journal of Modern Nursing
2012;18(30):3691-3693
- CountryChina
- Language:Chinese
-
Abstract:
Objective Applying PICCO in the volume administration for heart failure patients in order to guide the clinical liquid treatment and nursing.Methods Heart failure patients whose score of APACHE Ⅱ more than 16 were admitted in ICU and randomly divided into conventional group (n ＝ 12) and limited group (n＝12).The conventional group received the traditional liberty fliud management according to the hemodynamic data monitored by PICCO.On the basis of those clinic monitoring,the limited group received restrictive fliud management.Then,the data of mean cumulative fluid input and net balance quantity of liquid from 1th day to 7th day,stay time in ICU,needing time of nagative fliuld balance,ICU length of stay and the incidence of complications were collected.Results Compared the limited group to conventional group,the data of mean cumulative fluid input from 1 th day to 7th day,[(28 308.4 ± 5 583.0) ml vs (36 650.3 ± 6 099.8) ml],the net balance of liquid [(5 865.1 ±2 182.1)ml vs (9282.0 ±2578.3)ml] from 1th day to 7th day,needing time of nagative fliuld balance [(4.86 ± 1.77) d vs (7.43 ± 1.27) d],and ICU length of stay [(8.14 ± 1.86) d vs (10.29 ± 1.50) d] were significant different (P ＜ 0.05).There were 2 cases had complications in limited group,and that of conventional group were 6 cases,and the difference was not significant (P ＞ 0.05).Conclusions The clinical liquid treatment and nursing for patients with heart failure according to the PICCO system monitoring,which can improve the effect of outcome and promote their rehabilitation.
