STUDYING THE RELATIONSHIP BETWEEN SOME HEMODYNAMIC INDICATORS AND CENTRAL VENOUS PRESSURE (CVP) USING DOPPLER ULTRASOUND (USCOM - ULTRASONIC CARDIAC OUTPUT MONITOR) IN SEVERE BURN PATIENTS IN THE FIRST 8 HOURS AFTER THE BURN

Tiến Dũng Nguyễn, Văn Vụ Hoàng

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Abstract

Objective: Evaluating some hemodynamic indicators and their relationship with CVP in severe burn patients in the first 8 hours after burn using USCOM. Subject and methods: A study was conducted on 30 severe burn patients, who were treated at the Intensive Care Unit, National Burn Hospital in the first 8 hours after burn, from August, 2023 to May, 2024. These patients were measured Cardiac Output (CO), Cardiac Index (CI), Stroke Volume (SV), Stroke Volume Index (SVI), Inotropic Index (INO), Stroke Volume Variation (SVV), and Folw Time Corrected (FTc) and Central Venous Pressure (CVP) by USCOM. Results: CO (2.87 ± 0.94 ml/min), CI (1.69 ± 0.52 ml/min/m2), SV (27.9 ml), SVI (16.5 ml/m2), FTc (287.2 ms), and INO (0.94W) all decreased below normal thresholds. SVV (30.9%) was elevated at admission. SVI, SVV and FTc were closely correlated with CVP. Conclusion: CO, CI, SV, SVI, FTc of severe burn patients decreased within 8 hours after the burn. SVI, SVV and FTc can be substituted for CVP in assessing cardiac preload.

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References

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