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学科主题: 临床医学
题名:
The effects of differential injection sites of cold saline on transpulmonary thermodilution parameter values
作者: Yang, Wanjie1; Feng, Qingguo1; An, Youzhong2; Zhao, Xuefeng1; Wei, Kai1; Li, Chang1; Wang, Wei1; Teng, Hongyun1
关键词: pulmonary artery catheter ; global end diastolic volume index ; extravascular lung water index
刊名: PATIENT PREFERENCE AND ADHERENCE
发表日期: 2015
DOI: 10.2147/PPA.S78871
卷: 9, 页:551-554
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: RIGHT-VENTRICULAR-FUNCTION ; END-EXPIRATORY PRESSURE ; DILUTION ; VARIABLES ; PRELOAD ; HUMANS
英文摘要:

Aim: To investigate the effects of differential sites for cold saline injection on transpulmonary thermodilution parameter values.

Methods: This was a prospective study. Twelve patients were recruited for the following examinations: control condition (injection site at proximal injection end of the Swan-Ganz catheter), proximal end condition (injection site at sheath of the Swan-Ganz catheter), and distal end condition (injection site at PA end of the Swan-Ganz catheter). Sixty measurements were performed for each condition. The cardiac index, global end diastolic volume index (GEDI), and extravascular lung water index for the three different injection sites were recorded from each patient. In addition, the mean transmission time (MTt), downslope time, and area under the curve obtained from PiCCO-VoLEF-Win software were compared among different groups.

Results: There were no differences in cardiac index and extravascular lung water index values among the three conditions (P>0.05). There were no differences in GEDI between the proximal end condition and control condition (P>0.05), while the GEDI was significantly lower for the distal end condition (493.33 +/- 254.65 mL/m(2)) than for the control condition (645.53 +/- 234.46 mL/m(2)) (P<0.05) and proximal end condition (717.96 +/- 321.63 mL/m(2)) (P<0.01). There were no differences in downslope time and area under the curve among the three conditions (P<0.05). There were no differences in MTt between the proximal end condition and control condition (P>0.05), while the MTt was significantly lower for distal end condition (40.22 +/- 16.37 seconds) than for the control condition (42.91 +/- 17.93 seconds) (P<0.05) and proximal end condition (47.16 +/- 16.64 seconds) (P<0.01).

Conclusion: The differential sites for cold saline injection impacted transpulmonary thermodilution parameter values.

语种: 英语
WOS记录号: WOS:000352542200001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58383
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Fifth Cent Hosp Tianjin, Dept Crit Care, Tianjin 332400, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Crit Care, Beijing 100871, Peoples R China

Recommended Citation:
Yang, Wanjie,Feng, Qingguo,An, Youzhong,et al. The effects of differential injection sites of cold saline on transpulmonary thermodilution parameter values[J]. PATIENT PREFERENCE AND ADHERENCE,2015,9:551-554.
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