{"title":"脉搏指数连续心输出量(PiCCO)监测在感染性休克患者早期液体复苏中的应用及护理","authors":"Shunling Li, S. Liang, Weihua Xue","doi":"10.4236/ijcm.2020.118041","DOIUrl":null,"url":null,"abstract":"Background: Septic shock is a rapidly changing and fatal syndrome \nthat can cause comprehensive deterioration of \ncardiopulmonary and renal function and multiple organ failure. At the same time, \nseptic shock has the complex clinical manifestations and hemodynamics. PiCCO can \naccurately monitor blood flow, physical and volume indicators, and active \nand effective fluid resuscitation are important measures to reduce the fatality \nrate of septic shock and improve the prognosis of patients. Objectives: To \nexplore the application and nursing of PiCCO \nin early fluid resuscitation in patients with septic shock. Methods: This was a retrospective observational study. The observation group and the \ncontrol group each had 30 cases. The observation group used PiCCO to guide fluid \nresuscitation; the control group used conventional methods to guide fluid resuscitation. The changes in CVP, HR, MAP, \nand urine volume per hour were observed in the two groups. The changes of various \nindicators before and after fluid resuscitation, the length of stay in ICU and the \nmortality rate were compared between the two groups. All the outcomes were collected \nfrom the electronic medical case system after patients’ discharge from the hospital. Results: APACHE II, CVP, HR, MAP were compared between \nthe observation group and the control group, and the differences were \nstatistically significant (P 0.05). The blood volume of patients in the observation group was significantly improved after fluid supplementation (P 0.05). Compared with the control \ngroup, the length of stay in ICU in the observation group was significantly shorter, \nand the mortality rate was also significantly reduced (P 0.05). Conclusion: PiCCO can be better used in early fluid resuscitation \nof patients with septic shock.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"75 5 1","pages":"482-489"},"PeriodicalIF":0.0000,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Application and Nursing of Pulse Index Continuous Cardiac Output (PiCCO) Volume Monitoring in Early Fluid Resuscitation in Patients with Septic Shock\",\"authors\":\"Shunling Li, S. Liang, Weihua Xue\",\"doi\":\"10.4236/ijcm.2020.118041\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Septic shock is a rapidly changing and fatal syndrome \\nthat can cause comprehensive deterioration of \\ncardiopulmonary and renal function and multiple organ failure. At the same time, \\nseptic shock has the complex clinical manifestations and hemodynamics. PiCCO can \\naccurately monitor blood flow, physical and volume indicators, and active \\nand effective fluid resuscitation are important measures to reduce the fatality \\nrate of septic shock and improve the prognosis of patients. Objectives: To \\nexplore the application and nursing of PiCCO \\nin early fluid resuscitation in patients with septic shock. Methods: This was a retrospective observational study. The observation group and the \\ncontrol group each had 30 cases. The observation group used PiCCO to guide fluid \\nresuscitation; the control group used conventional methods to guide fluid resuscitation. The changes in CVP, HR, MAP, \\nand urine volume per hour were observed in the two groups. The changes of various \\nindicators before and after fluid resuscitation, the length of stay in ICU and the \\nmortality rate were compared between the two groups. All the outcomes were collected \\nfrom the electronic medical case system after patients’ discharge from the hospital. Results: APACHE II, CVP, HR, MAP were compared between \\nthe observation group and the control group, and the differences were \\nstatistically significant (P 0.05). The blood volume of patients in the observation group was significantly improved after fluid supplementation (P 0.05). Compared with the control \\ngroup, the length of stay in ICU in the observation group was significantly shorter, \\nand the mortality rate was also significantly reduced (P 0.05). Conclusion: PiCCO can be better used in early fluid resuscitation \\nof patients with septic shock.\",\"PeriodicalId\":14201,\"journal\":{\"name\":\"International Journal of Physical Medicine and Rehabilitation\",\"volume\":\"75 5 1\",\"pages\":\"482-489\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-08-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Physical Medicine and Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4236/ijcm.2020.118041\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Physical Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4236/ijcm.2020.118041","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Application and Nursing of Pulse Index Continuous Cardiac Output (PiCCO) Volume Monitoring in Early Fluid Resuscitation in Patients with Septic Shock
Background: Septic shock is a rapidly changing and fatal syndrome
that can cause comprehensive deterioration of
cardiopulmonary and renal function and multiple organ failure. At the same time,
septic shock has the complex clinical manifestations and hemodynamics. PiCCO can
accurately monitor blood flow, physical and volume indicators, and active
and effective fluid resuscitation are important measures to reduce the fatality
rate of septic shock and improve the prognosis of patients. Objectives: To
explore the application and nursing of PiCCO
in early fluid resuscitation in patients with septic shock. Methods: This was a retrospective observational study. The observation group and the
control group each had 30 cases. The observation group used PiCCO to guide fluid
resuscitation; the control group used conventional methods to guide fluid resuscitation. The changes in CVP, HR, MAP,
and urine volume per hour were observed in the two groups. The changes of various
indicators before and after fluid resuscitation, the length of stay in ICU and the
mortality rate were compared between the two groups. All the outcomes were collected
from the electronic medical case system after patients’ discharge from the hospital. Results: APACHE II, CVP, HR, MAP were compared between
the observation group and the control group, and the differences were
statistically significant (P 0.05). The blood volume of patients in the observation group was significantly improved after fluid supplementation (P 0.05). Compared with the control
group, the length of stay in ICU in the observation group was significantly shorter,
and the mortality rate was also significantly reduced (P 0.05). Conclusion: PiCCO can be better used in early fluid resuscitation
of patients with septic shock.