The Impact of a Pulmonary-Artery-Catheter-Based Protocol on Fluid and Catecholamine Administration in Early Sepsis
Joint Authors
van Roon, Eric N.
Groenwold, Frouwke M.
Elbers, Paul
Boerma, E. Christiaan
Lange, Fellery de
Kuiper, Michael A.
Kingma, W. Peter
Bethlehem, Carina
Buter, Hanneke
Groen, Henk
Source
Critical Care Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
The pulmonary artery catheter (PAC) remains topic of debate.
Despite abundant data, it is of note that many trials did not incorporate a treatment protocol.
Methods.
We retrospectively evaluated fluid balances and catecholamine doses in septic patients after the introduction of a PAC-based treatment protocol in comparison to historic controls.
Results.
2×70 patients were included.
The first day the PAC group had a significantly higher positive fluid balance in comparison to controls (6.1±2.6 versus 3.8±2.4 litre, P<0.001).
After 7 days the cumulative fluid balance in the PAC group was significantly lower than in controls (9.4±7.4 versus 13±7.6 litre, P=0.001).
Maximum dose of norepinephrine was significantly higher in the PAC group.
Compared to controls this was associated with a significant reduction in ventilator and ICU days.
Conclusions.
Introduction of a PAC-based treatment protocol in sepsis changed the administration of fluid and vasopressors significantly.
American Psychological Association (APA)
Bethlehem, Carina& Groenwold, Frouwke M.& Buter, Hanneke& Kingma, W. Peter& Kuiper, Michael A.& Lange, Fellery de…[et al.]. 2012. The Impact of a Pulmonary-Artery-Catheter-Based Protocol on Fluid and Catecholamine Administration in Early Sepsis. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-450773
Modern Language Association (MLA)
Bethlehem, Carina…[et al.]. The Impact of a Pulmonary-Artery-Catheter-Based Protocol on Fluid and Catecholamine Administration in Early Sepsis. Critical Care Research and Practice No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-450773
American Medical Association (AMA)
Bethlehem, Carina& Groenwold, Frouwke M.& Buter, Hanneke& Kingma, W. Peter& Kuiper, Michael A.& Lange, Fellery de…[et al.]. The Impact of a Pulmonary-Artery-Catheter-Based Protocol on Fluid and Catecholamine Administration in Early Sepsis. Critical Care Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-450773
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-450773
