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Pulmonary Catheter in Paediatric Intensive Care. Is it Superfluous or a Therapeutic Asset?


Authors: M. Klimovič;  M. Fedora;  M. Šeda;  R. Nekvasil;  P. Dominik
Authors‘ workplace: ARO a ECMO centrum FN Brno, Fakultní dětská nemocnice J. G. Mendela, přednosta prim. MUDr. M. Klimovič
Published in: Čes-slov Pediat 1999; (7): 354-356.
Category:

Overview

Objective:
Objective evidence to justify invasive haemodynamics (PA catheter) in defined groups of patientsin intensive paediatric care. Design: Prospective observational study.Patients: Two groups of patients were defined: 1. patients with severe refractory shock not responding to„fluid“ resuscitation, 2. patients meeting ARDS criteria.Method: The authors compared the results of assessment at time „0 hours“ after insertion of a PA catheterArrow 4 and 7 Fr with a monitoring unit Datex AS/3. They investigated in patients with severe refractory shockCI, SVRI, PVRI, DO2, VIO2, O2ER, in patients with ARDS in addition PAP mean, PCWP.Results: In all patients, based on results of haemodynamic monitoring movement of the supply of oxygenconsumption improved. No complications were recorded neither as a result of insertion nor as a result ofmeasurements.

Key words:
PA catheter, haemodynamics, ARDS, shock

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Labels
Neonatology Paediatrics General practitioner for children and adolescents
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