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| Application of Pulsed Wave Indicating Continuous Cardiac Output Monitoring (PICCO) Technique in Liquid Resuscitation of Multiple Trauma Patients |
| LI Qiang, ZHANG Shupei, et al |
| Ankang Center Hospital, Shaanxi Ankang 72500, China |
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Abstract Objective: To investigate the application of Pulsed Wave Indicating Continuous Cardiac Output Monitoring (PICCO) technology in fluid resuscitation from multiple trauma patients. Methods: 80 patients with multiple traumatic fluid resuscitation who were admitted from March 2017 to March 2018 were randomly divided into two groups. Patients in the control group were given traditional TTE and CVP monitoring. Patients in the PICCO group were treated with PICCO. The life related evidence and clinical observation index of the two groups during the monitoring period were compared. Results:The HR, CVP, MAP, CI, GEF, GEDVI, ITBVI, EVLWI, LAC, and APACHEII scores in the PICCO group were significantly lower than those in the control group at the time of T2 and T3, and the PaO2/FiO2 levels were significantly higher than those in the control group. The control group; 72h liquid volume, ventilator time, norepinephrine use, ICU time and mortality at 28 days were significantly lower than the control group, the difference was statistically significant (P<0.05). Conclusion:The application of pulse wave indication continuous cardiac output monitoring technique in fluid resuscitation of patients with multiple trauma is significant and has reference significance.
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2018, Vol. 24 
