The value of end -tidal carbon dioxide partial pressure in fluid resuscitation in severe acute pancreatitis patients
10.3760/cma.j.issn.1008-6706.2016.13.026
- VernacularTitle:呼气末二氧化碳分压评估重症急性胰腺炎患者液体复苏的价值
- Author:
Yantao LIU
;
Yening LI
;
Wenjing ZHOU
;
Huanhuan XU
- Publication Type:Journal Article
- Keywords:
End -tidal carbon dioxide partial pressure;
Pancreatitis;
Volume responsiveness;
Fluid resuscitation;
Monitoring,hemodynamics
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(13):2016-2019
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of end-tidal carbon dioxide partial pressure (PET CO2 )in fluid resuscitation in severe acute pancreatitis(SAP)patients.Methods SAP patients under mechanical ventilation with the need of a fluid challenge test were included.Hemodynamic parameter cardiac index(CI)and PET CO2 were conducted before and after the fluid challenge test.The value of ΔPET CO2 was used to predict fluid responsiveness. Results Totally 43 patients with SAP were prospectively recruited.31 patients had volume responsiveness, 12 patients had no volume responsiveness.Compared with no volume responsiveness group,volume responsiveness group led to a greater increase in ΔCI[(0.9 ±0.3)vs.(0.2 ±0.3),t =3.24,P <0.05]and ΔPET CO2 [(4.1 ± 1.9)vs.(0.7 ±1.2),t =4.01,P <0.05].ΔPET CO2 and ΔCI were correlated(r =0.74,P <0.05).The area under ROC curve of ΔPET CO2 was 0.872(95% CI 0.754 ~0.923,P <0.05).An increase of 5% in ΔPET CO2 predicted fluid responsiveness with a sensitivity of 86.7%,and specificity of 89.5%.Conclusion The change of ΔPET CO2 induced by fluid challenge test is an effective way to predict fluid responsiveness in SAP patients.
