Influence of continous veno-venous hemofiltration therapy on PiCCO monitering data

Qing HE; Zhe Feng; Jinghua Wang; Zhigang Chang; Puxian Tang; Taotao Liu; Yalin Liu

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Influence of continous veno-venous hemofiltration therapy on PiCCO monitering data

VernacularTitle:连续性静脉-静脉血液滤过治疗对急性肾衰竭患者血流动学监测指标的影响
Author: Qing HE ; Zhe FENG ; Jinghua WANG ; Zhigang CHANG ; Puxian TANG ; Taotao LIU ; Yalin LIU
Publication Type:Journal Article
Keywords: Hemodynamic phenomena; Hemofiltration
From: Chinese Journal of Geriatrics 2010;29(7):576-578
CountryChina
Language:Chinese
Abstract: Objective To explore the influence of continuous veno-venous hemofiltration (CVVH) therapy on cardiac index (CD, global end-diastolic volume index (GEDI) and extravascular lung water index (ELWI) monitored by Pulse-indicated continuous cardiac output (PiCCO). Methods The 12 critically ill patients with acute renal failure were selected consecutively from department of intensive care unit (ICU) in Beijing Hospital. The patients who received CVVH therapy were monitored by PiCCO plus device. The hemodynamic measurements were performed during the process and interruption of CVVH. Pared t-test was used to analyze the values of CI, GEDI and ELWI. Results A total of 48 groups of data from 12 patients were analyzed. There were no significant differences in CI [(4.75±0.93) L ? min(-1) · m(-2)vs. (4.69±0.89) L · min(-1) · m(-2)], GEDI [(780.60±109.30) ml/m2 vs. (784.75± 106.20) ml/m2] and ELWI CC11.61±3.45) ml/kg vs. (11.54±3.56) ml/kg] between the interruption and process of CVVH, as obtained by the pared t-test (all P>0.05). Conclusions The CVVH therapy has no effect on the accuracy and reliability of PiCCO measurement of CI, GEDI and ELWI.