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Date Published: 07/03/2023
Abstract Views: 261
Views PDF: 136
DOI: https://doi.org/10.51298/vmj.v523i2.4520
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Vol. 523 No. 2 (2023)
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Các bài báo
How to Cite
Nguyễn, H. H. Q., Nguyễn, A. T., & Nguyễn, H. Q. (2023). THE PROGNOSTIC VALUE OF EXTRAVASCULAR LUNG WATER INDEX IN CRITICALLY ILL SEPTIC SHOCK PATIENTS. Vietnam Medical Journal, 523(2). https://doi.org/10.51298/vmj.v523i2.4520

THE PROGNOSTIC VALUE OF EXTRAVASCULAR LUNG WATER INDEX IN CRITICALLY ILL SEPTIC SHOCK PATIENTS

Hữu Hồng Quân Nguyễn1,, Anh Tuấn Nguyễn1,2, Hữu Quân Nguyễn1,2
1 Hanoi medical university
2 Bach Mai hospital

Main Article Content

Abstract

Objective: To investigate the prognostic value of extravascular lung water index (EVLWI) in critically ill patients with septic shock in intensive care unit (ICU). Design: observational study. Setting: The Emergency center of Bach Mai hospital. Patients: We evaluated 31 patients. Interventions: From October 1, 2021 to October 30, 2022 This study prospectively recruited patients with sepsis sock from a medical intensive care unit (ICU) at the Emergency center of Bach Mai hospital. In each patient, transpulmonary thermodilution was used to measure cardiovascular hemodynamics and EVLI for 3 days via an arterial catheter placed within 48 h of the patient meeting the criteria for sepsis sock. All data were analyzed. Measurements and Main Results: In total, 31 patients were studied. EVLWI acted as an predictor for in-hospital survival. Medical ICU patients with extremely septic sock and a high EVLI (<10 ml/kg) had lower in-hospital survival rate than those with a low EVLI (>10 ml/kg) (35.7% vs. 64.3%, respectively, p<0.05) Conclusions: This investigation suggested that EVLI was an predictor for in hospital survival in medical ICU patients with septic sock. A reduction of EVLWI at early treatment was associated with a better prognosis.

Article Details

Keywords

Extravascular lung water index; Septic sock; Medical ICU;Transpulmonary thermodilution; Survival

References

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