Application and Nursing of Pulse Index Continuous Cardiac Output (PiCCO) Volume Monitoring in Early Fluid Resuscitation in Patients with Septic Shock
- 1 The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
- 2 Nethersole School of Nursing, Faculty of Medicine, Nethersole School of Nursing, Hong Kong, China
- 3 The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
Abstract
Background : Septic shock is a rapidly changing and fatal syndrome that can cause comprehensive deterioration of cardiopulmonary and renal function and multiple organ failure. At the same time, septic shock has the complex clinical manifestations and hemodynamics. PiCCO can accurately monitor blood flow, physical and volume indicators, and active and effective fluid resuscitation are important measures to reduce the fatality rate of septic shock and improve the prognosis of patients. Objectives: To explore the application an d nursing of PiCCO in early fluid resuscitation in patie nts with septic shock. Me thods: This was a retrospective observ ational study. The observation group and the control group each had 30 cases. The observation group used PiCCO to guide fluid resuscitation; the control group used conventional methods to guide fluid resuscitation. The changes in CVP, HR, MAP, and urine volume per hour were observed in the two groups. The changes of various indicators before and after fluid resuscitation, the length of stay in ICU and the mortality rate were compared between the two groups. All the outcomes were collected from the electronic medical case system after patients’ discharge from the hospital. Results: APACHE II , CVP, HR, MAP were compared between th e obse rvation group and th e control group, and the differences w ere statistically significant ( P < 0.05). The blood volume of patients in the observatio n group was significantly improved after fluid supplementation ( P < 0.05). Compared with the control group, the length of stay in ICU in the observation group was significantly shorter, and the mortality rate was also significantly reduced ( P < 0.05 ). Conclusion: PiCCO can be better used in early fluid resuscitation of patients with septic shock.
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