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Date Published: 15/01/2024
Abstract Views: 84
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DOI: https://doi.org/10.51298/vmj.v534i1.8065
Issue
Vol. 534 No. 1 (2024)
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Các bài báo
How to Cite
Phạm , K. L., & Bùi , T. H. G. . (2024). HEMODYNAMIC CHARACTERISTICS IN SEPTIC SHOCK PATIENTS USING PRESSURE RECORDING ANALYTICAL METHOD IN ICU OF BACH MAI HOSPITAL. Vietnam Medical Journal, 534(1). https://doi.org/10.51298/vmj.v534i1.8065

HEMODYNAMIC CHARACTERISTICS IN SEPTIC SHOCK PATIENTS USING PRESSURE RECORDING ANALYTICAL METHOD IN ICU OF BACH MAI HOSPITAL

Kim Lê Phạm , Thị Hương Giang Bùi

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Abstract

Objective: Studying hemodynamic characteristics in septic shock patients using pressure recording analytical method in the Bachmai Hospital’s Center for Critical Care Medicine. Methods: A total of 30 mechanically ventilated septic shock patients at the Center for Critical Care Medicine of  Bach Mai Hospital were included in a prospective study from January 2023 to July 2023. Septic shock was defied using Surviving Sepsis Campaign 2016 Criteria. Collected data included age, gender, weight, pulse and vasopressor doses. Indices collected from Mostcare machine were CO, CI, SVI, SVRI, PPV, SVV, and dP/dtmax, which were recorded by PRAM through the arterial catheter. Results: The study was conducted on 30 critically ill patients. The male to female ratio was  3.2/1. The average age of studied patients was 54.6 ± 18.5 [20 - 88] years. The average cardiac output in patients with septic shock was 5.67 ± 1.22 liters/min, while the average systemic vascular resistance index was 1700.63 ± 556 dyne.s.m2.cm5. 19 patients (63%) were fluid responsive (PPV > 9%) with SVV 13.07 ± 7.97% which was  higher than the  non-responsive group (16.42 ± 7.66%) Conclusions: 100% of patients with septic shock had the lower systemic vascular resistance index and most patients had cardiac output within normal limits. In the study group, 63% of patients were fluid responsive. Pulse and blood lactate level in the fluid responsive group were higher than the non-responsive group. SVV, dP/dtmax in the  fluid responsive group were significantly lower compared to the non-responsive group.

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References

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