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2020, Number 1

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Invest Medicoquir 2020; 12 (1)

Haemodynamic monitoring by means of analysis of the contour of the pulse and transpulmonar termodilucion in patient receivers of hepatic transplantation

Espinosa NN, Abdo CA, Gòmez PF

Language: Spanish
References: 31
Page: 1-19
PDF size: 414.95 Kb.


ABSTRACT

Introduction. Hemodynamic monitoring in critical patients is common practice in current intensive care. Methods. A descriptive, prospective, observational study was carried out in 14 liver transplant recipients, admitted to the Intensive Care Unit of the Surgical Medical Research Center in the period from January 2016 to January 2018, in which it was used as hemodynamic monitoring method the PICCO system. General data, hemodynamic and oxygenation variables were collected at admission, at 8 hours, 12 hours, 24 hours and 48 hours. Results. Patients on admission were characterized by presenting decreased preload and contractility values. Negative correlation was found between pulmonary extravascular water and the PO2/FiO2 ratio, (p = 0.01). There was no relationship between the central venous pressure and the end-of-diastole volume index, (p = 0.21). The overall ejection fraction of less than 25% and the cardiac index of less than 3l/min/m2 at admission were predictive variables of mortality for the patients studied, (p = 0.045, p = 0.038, p = 0.038). Conclusions. The utility of hemodynamic monitoring is demonstrated through the PiCCO system for diagnosis, monitoring, management and obtaining prognostic parameters in these patients.


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