Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring

Chanjuan Ji; Jinliang Hu; Qing Ye

doi:doi:10.11648/j.sjph.20190706.12

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Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring

Chanjuan Ji, Jinliang Hu, Qing Ye

Published in Science Journal of Public Health (Volume 7, Issue 6)

Received: 31 August 2019 Published: 8 November 2019

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Abstract

This study aims to explore the changing characteristics of extravascular lung water after fluid resuscitation in septic shock patients by early PiCCO monitoring. 42 patients who were admitted to the ICU in our hospital and diagnosed as septic shock were collected. The patients were divided into two groups: treatment group (PiCCO group) (n=21) and control group (CVP group) (n=21). They were given early fluid resuscitation using different monitoring methods on the basis of conventional treatment for septic shock to monitor the changes of hemodynamics, EVLWI, oxygenation index (PaO₂/FiO₂) and BNP level before and after resuscitation. The BNP and LAC levels of the treatment group were significantly lower than those of the control group within 72 h (P<0.05). The use time of vasoactive drug, duration of mechanical ventilation and length of stay in ICU were significantly shorter in the treatment group than those in the control group (P<0.05), but there were no significant differences in the incidence of MODS and mortality between the two groups (P>0.05). ITBVI and GEDVI immediately, 12 h and 24 h after the fluid resuscitation were increased in the two groups compared with those before, between which the difference was statistically significant (P<0.01). Compared with those before resuscitation, the differences in PaO₂/FiO₂ at each time point in the two groups were not statistically significant (P>0.05). Early fluid resuscitation under the guidance of PiCCO has significant effect, which can be used as one of indicators for hemodynamic monitoring.

Published in	Science Journal of Public Health (Volume 7, Issue 6)
DOI	10.11648/j.sjph.20190706.12
Page(s)	187-192
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

PiCCO, Septic Shock, Fluid Resuscitation, Pneumonedema

References

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APA Style

Chanjuan Ji, Jinliang Hu, Qing Ye. (2019). Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring. Science Journal of Public Health, 7(6), 187-192. https://doi.org/10.11648/j.sjph.20190706.12

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ACS Style

Chanjuan Ji; Jinliang Hu; Qing Ye. Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring. Sci. J. Public Health 2019, 7(6), 187-192. doi: 10.11648/j.sjph.20190706.12

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AMA Style

Chanjuan Ji, Jinliang Hu, Qing Ye. Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring. Sci J Public Health. 2019;7(6):187-192. doi: 10.11648/j.sjph.20190706.12

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@article{10.11648/j.sjph.20190706.12,
  author = {Chanjuan Ji and Jinliang Hu and Qing Ye},
  title = {Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring},
  journal = {Science Journal of Public Health},
  volume = {7},
  number = {6},
  pages = {187-192},
  doi = {10.11648/j.sjph.20190706.12},
  url = {https://doi.org/10.11648/j.sjph.20190706.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20190706.12},
  abstract = {This study aims to explore the changing characteristics of extravascular lung water after fluid resuscitation in septic shock patients by early PiCCO monitoring. 42 patients who were admitted to the ICU in our hospital and diagnosed as septic shock were collected. The patients were divided into two groups: treatment group (PiCCO group) (n=21) and control group (CVP group) (n=21). They were given early fluid resuscitation using different monitoring methods on the basis of conventional treatment for septic shock to monitor the changes of hemodynamics, EVLWI, oxygenation index (PaO2/FiO2) and BNP level before and after resuscitation. The BNP and LAC levels of the treatment group were significantly lower than those of the control group within 72 h (P0.05). ITBVI and GEDVI immediately, 12 h and 24 h after the fluid resuscitation were increased in the two groups compared with those before, between which the difference was statistically significant (P2/FiO2 at each time point in the two groups were not statistically significant (P>0.05). Early fluid resuscitation under the guidance of PiCCO has significant effect, which can be used as one of indicators for hemodynamic monitoring.},
 year = {2019}
}

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TY  - JOUR
T1  - Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring
AU  - Chanjuan Ji
AU  - Jinliang Hu
AU  - Qing Ye
Y1  - 2019/11/08
PY  - 2019
N1  - https://doi.org/10.11648/j.sjph.20190706.12
DO  - 10.11648/j.sjph.20190706.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 187
EP  - 192
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20190706.12
AB  - This study aims to explore the changing characteristics of extravascular lung water after fluid resuscitation in septic shock patients by early PiCCO monitoring. 42 patients who were admitted to the ICU in our hospital and diagnosed as septic shock were collected. The patients were divided into two groups: treatment group (PiCCO group) (n=21) and control group (CVP group) (n=21). They were given early fluid resuscitation using different monitoring methods on the basis of conventional treatment for septic shock to monitor the changes of hemodynamics, EVLWI, oxygenation index (PaO2/FiO2) and BNP level before and after resuscitation. The BNP and LAC levels of the treatment group were significantly lower than those of the control group within 72 h (P0.05). ITBVI and GEDVI immediately, 12 h and 24 h after the fluid resuscitation were increased in the two groups compared with those before, between which the difference was statistically significant (P2/FiO2 at each time point in the two groups were not statistically significant (P>0.05). Early fluid resuscitation under the guidance of PiCCO has significant effect, which can be used as one of indicators for hemodynamic monitoring.
VL  - 7
IS  - 6
ER  -

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Author Information

Chanjuan Ji

Department of Operating, Binzhou People's Hospital, Binzhou City, China
Jinliang Hu

Department of Operating, Binzhou People's Hospital, Binzhou City, China
Qing Ye

Department of Operating, Binzhou People's Hospital, Binzhou City, China

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Plain Text BibTeX RIS

APA Style

Chanjuan Ji, Jinliang Hu, Qing Ye. (2019). Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring. Science Journal of Public Health, 7(6), 187-192. https://doi.org/10.11648/j.sjph.20190706.12

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ACS Style

Chanjuan Ji; Jinliang Hu; Qing Ye. Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring. Sci. J. Public Health 2019, 7(6), 187-192. doi: 10.11648/j.sjph.20190706.12

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AMA Style

Chanjuan Ji, Jinliang Hu, Qing Ye. Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring. Sci J Public Health. 2019;7(6):187-192. doi: 10.11648/j.sjph.20190706.12

Copy | Download

@article{10.11648/j.sjph.20190706.12,
  author = {Chanjuan Ji and Jinliang Hu and Qing Ye},
  title = {Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring},
  journal = {Science Journal of Public Health},
  volume = {7},
  number = {6},
  pages = {187-192},
  doi = {10.11648/j.sjph.20190706.12},
  url = {https://doi.org/10.11648/j.sjph.20190706.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20190706.12},
  abstract = {This study aims to explore the changing characteristics of extravascular lung water after fluid resuscitation in septic shock patients by early PiCCO monitoring. 42 patients who were admitted to the ICU in our hospital and diagnosed as septic shock were collected. The patients were divided into two groups: treatment group (PiCCO group) (n=21) and control group (CVP group) (n=21). They were given early fluid resuscitation using different monitoring methods on the basis of conventional treatment for septic shock to monitor the changes of hemodynamics, EVLWI, oxygenation index (PaO2/FiO2) and BNP level before and after resuscitation. The BNP and LAC levels of the treatment group were significantly lower than those of the control group within 72 h (P0.05). ITBVI and GEDVI immediately, 12 h and 24 h after the fluid resuscitation were increased in the two groups compared with those before, between which the difference was statistically significant (P2/FiO2 at each time point in the two groups were not statistically significant (P>0.05). Early fluid resuscitation under the guidance of PiCCO has significant effect, which can be used as one of indicators for hemodynamic monitoring.},
 year = {2019}
}

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TY  - JOUR
T1  - Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring
AU  - Chanjuan Ji
AU  - Jinliang Hu
AU  - Qing Ye
Y1  - 2019/11/08
PY  - 2019
N1  - https://doi.org/10.11648/j.sjph.20190706.12
DO  - 10.11648/j.sjph.20190706.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 187
EP  - 192
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20190706.12
AB  - This study aims to explore the changing characteristics of extravascular lung water after fluid resuscitation in septic shock patients by early PiCCO monitoring. 42 patients who were admitted to the ICU in our hospital and diagnosed as septic shock were collected. The patients were divided into two groups: treatment group (PiCCO group) (n=21) and control group (CVP group) (n=21). They were given early fluid resuscitation using different monitoring methods on the basis of conventional treatment for septic shock to monitor the changes of hemodynamics, EVLWI, oxygenation index (PaO2/FiO2) and BNP level before and after resuscitation. The BNP and LAC levels of the treatment group were significantly lower than those of the control group within 72 h (P0.05). ITBVI and GEDVI immediately, 12 h and 24 h after the fluid resuscitation were increased in the two groups compared with those before, between which the difference was statistically significant (P2/FiO2 at each time point in the two groups were not statistically significant (P>0.05). Early fluid resuscitation under the guidance of PiCCO has significant effect, which can be used as one of indicators for hemodynamic monitoring.
VL  - 7
IS  - 6
ER  -

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