tailieunhanh - Bóa cáo y học: "Erroneous measurement of haemodynamic parameters by PiCCO™ monitor in a critically ill patient with renal replacement therapy: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Erroneous measurement of haemodynamic parameters by PiCCO™ monitor in a critically ill patient with renal replacement therapy: a case report. | Available online http content 10 2Z410 Letter Erroneous measurement of haemodynamic parameters by PiCCO monitor in a critically ill patient with renal replacement therapy a case report Antonio Martínez-Simón Pablo Monedero and Elena Cacho-Asenjo Department of Anaesthesiology and Intensive Care Clinica Universitaria de Navarra Pamplona Spain Corresponding author Antonio Martínez-Simón amartinezs@ Published 27 April 2006 This article is online at http content 10 2 410 2006 BioMed Central Ltd Critical Care 2006 10 410 doi cc4911 The PiCCO monitor Pulsion Medical System Melsungen Hessen Germany has become an alternative method of haemodynamic invasive monitoring for the critically ill patient. The determination of the continuous cardiac output by arterial pulse contour analysis requires the periodic calibration of the monitor. This calibration is performed by the injection of a bolus of 15-20 ml cold saline through a central line catheter 1-3 . We present the case of a 54-year-old woman with breast cancer who underwent cord decompression surgery for bone metastasis. On the seventh postoperative day she developed multiorgan system failure septic shock respiratory insufficiency acute renal failure disseminated intravascular coagulopathy due to nosocomial pneumonia. The patient was admitted to the intensive care unit and the PiCCO monitor was used for invasive haemodynamic monitoring. A Certofix Trio HF catheter Braun Munich Bayern Germany was placed uneventfully in the right internal jugular vein to carry out continuous venous-venous haemodialysis CVVH-D . The Certofix Trio HF is a triplelumen catheter made of polyurethane with three lumens first channel distal 16 G second channel middle 12 G and third channel proximal 12 G . The distal lumen was used for the calibrations of the PiCCO monitor due to the high-risk of insertion of another central line in a patient with severe coagulopathy. The analysis of the area under the .

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