Effectiveness research of PICCO on the control of circulation system complications during mild hypothermia in patients with craniocerebral injury

doi:10.3969/j.issn.1004-583X.2016.01.017

Abstract

Abstract: Objective To explore the effectiveness of pulse-indicated continuous cardiac output (PICCO) technology on the control of circulation system complications during mild hypothermia in patients with craniocerebral injury.Methods A total of 70 patients with severe craniocerebral injury receiving mild hypothermia therapy in intensive care unit (ICU) from September, 2012 to March, 2015 were retrospectively analyzed. All patients were divided into control group with heart rate (P) and invasive arterial pressure (MAP) monitor and PICCO group with PICCO monitor.Results The circulatory complications during mild hypothermia therapy mainly occurred in cooling stage and low temperature stage, the incidence of low blood pressure of PICCO group was significantly lower than that of control group (P<0.05); and the liquid intake of PICCO group was significantly lower than that of control group (P<0.01); After 21 days of treatment, the Glasgow Coma Scale (GCS) scores of PICCO group was significantly higher than that of control group (P<0.01) and the length of hospital stay was significantly shorter than that of control group (P<0.05). Conclusion As for patients with severe craniocerebral injury receiving mild hypothermia therapy, PICCO monitoring technology can monitor the hemodynamic indexes in real-time manner, reasonably regulate fluid management and the dosage of hibernation drugs, effectively exert control on complications such as arrhythmia, hypotension and neurogenic pulmonary edema caused by mild hypothermia therapy to reduce the incidence rate of complications, so as to improve the survival rate of patients and reduce morbidity as well as lowering the burden on society.

Key words: craniocerebral injury, hypothermia, complications, intensive care

CLC Number:

R651

Sun Zhihui, Liu Qinqin, Wan Min, Qi Yingjie, Li Hui. Effectiveness research of PICCO on the control of circulation system complications during mild hypothermia in patients with craniocerebral injury[J]. Clinical Focus, 2016, 31(1): 68-70.

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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2016.01.017

https://huicui.hebmu.edu.cn/EN/Y2016/V31/I1/68

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