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:
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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