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Comparison of Goal-Directed Hemodynamic Optimization Using Pulmonary Artery Catheter and Transpulmonary Thermodilution in Combined Valve Repair : A Randomized Clinical Trial
المؤلفون المشاركون
Kirov, Mikhail Y.
Smetkin, Alexey A.
Bjertnaes, Lars J.
Kuzkov, Vsevolod V.
Lenkin, Andrey I.
Paromov, Konstantin V.
Lie, Mons
المصدر
Critical Care Research and Practice
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-04-30
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Our aim was to compare the effects of goal-directed therapy guided either by pulmonary artery catheter (PAC) or by transpulmonary thermodilution (TTD) combined with monitoring of oxygen transport on perioperative hemodynamics and outcome after complex elective valve surgery.
Measurements and Main Results.
Forty patients were randomized into two equal groups: a PAC group and a TTD group.
In the PAC group, therapy was guided by mean arterial pressure (MAP), cardiac index (CI) and pulmonary artery occlusion pressure (PAOP), whereas in the TTD group we additionally used global end-diastolic volume index (GEDVI), extravascular lung water index (EVLWI), and oxygen delivery index (DO2I).
We observed a gradual increase in GEDVI, whereas EVLWI and PAOP decreased by 20–30% postoperatively (P<0.05).
The TTD group received 20% more fluid accompanied by increased stroke volume index and DO2I by 15–20% compared to the PAC group (P<0.05).
Duration of mechanical ventilation was increased by 5.2 hrs in the PAC group (P=0.04).
Conclusions.
As compared to the PAC-guided algorithm, goal-directed therapy based on transpulmonary thermodilution and oxygen transport increases the volume of fluid therapy, improves hemodynamics and DO2I, and reduces the duration of respiratory support after complex valve surgery.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Lenkin, Andrey I.& Kirov, Mikhail Y.& Kuzkov, Vsevolod V.& Paromov, Konstantin V.& Smetkin, Alexey A.& Lie, Mons…[et al.]. 2012. Comparison of Goal-Directed Hemodynamic Optimization Using Pulmonary Artery Catheter and Transpulmonary Thermodilution in Combined Valve Repair : A Randomized Clinical Trial. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-500820
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Lenkin, Andrey I.…[et al.]. Comparison of Goal-Directed Hemodynamic Optimization Using Pulmonary Artery Catheter and Transpulmonary Thermodilution in Combined Valve Repair : A Randomized Clinical Trial. Critical Care Research and Practice No. 2012 (2012), pp.1-10.
https://search.emarefa.net/detail/BIM-500820
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Lenkin, Andrey I.& Kirov, Mikhail Y.& Kuzkov, Vsevolod V.& Paromov, Konstantin V.& Smetkin, Alexey A.& Lie, Mons…[et al.]. Comparison of Goal-Directed Hemodynamic Optimization Using Pulmonary Artery Catheter and Transpulmonary Thermodilution in Combined Valve Repair : A Randomized Clinical Trial. Critical Care Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-500820
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-500820
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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