Efficacy of PiCCO monitoring in guiding volume therapy in patients with sepsis complicated with a-cute kidney injury
10.3760∕cma.j.issn.0254-1416.2018.03.027
- VernacularTitle:PiCCO监测指导脓毒症并发急性肾损伤患者容量治疗的效果
- Author:
Xuezhen HU
1
;
Yuqiang GONG
;
Laifang SUN
;
Wanquan KONG
Author Information
1. 325000,温州医科大学附属第二医院急诊 ICU
- Keywords:
Cardiac output;
Catheterization;
Swan-Ganz;
Monitoring;
physiologic;
Sepsis;
Fluid therapy;
Acute kidney injury
- From:
Chinese Journal of Anesthesiology
2018;38(3):359-362
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of pulse indicator continuous cardiac output (PiC-CO) monitoring in guiding volume therapy in patients with sepsis complicated with acute kidney injury. Methods Eighty-five patients with sepsis complicated with acute kidney injury were divided into PiCCO group (n= 37) and routine group (n = 48) according to whether PiCCO monitoring was used to guide vol-ume therapy. The hemodynamic parameters at 6 and 24 h after volume therapy, fluid volume, consumption of vasoactive drugs, renal function, fatality in intensive care unit and 28-day fatality were recorded. Re-sults Compared with routine group, the volume of fluid for resuscitation at 24 h after volume therapy, and central venous pressure were significantly decreased (P<0. 05), the time of continuous renal replace-ment therapy was shortened, the urine volume was increased, the blood creatinine level was decreased, and the fatality rate in intensive care unit and 28-day fatality rate were decreased in group PiCCO (P<0. 05). Conclusion For the patients with sepsis complicated with acute kidney injury, PiCCO monitoring can reasonably guide volume therapy and is helpful in improving the prognosis.
