TITLE:
Application and Nursing of Pulse Index Continuous Cardiac Output (PiCCO) Volume Monitoring in Early Fluid Resuscitation in Patients with Septic Shock
AUTHORS:
Shunling Li, Surui Liang, Weihua Xue
KEYWORDS:
Septic Shock, Pulse Index Continuous Cardiac Output (PiCCO), Nursing
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.11 No.8,
August
27,
2020
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 and nursing of PiCCO
in early fluid resuscitation in patients with septic shock. Methods: This was a retrospective observational 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
the observation group and the control group, and the differences were
statistically significant (P 0.05). The blood volume of patients in the observation 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.