Current practice of hemodynamic monitoring with PiCCO in a single general surgical ICU in a university hospital - a short report
1University Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Sveti Duh University Hospital, HR-10000 Zagreb, Croatia
2Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, HR-31000 Osijek, Croatia
DOI: 10.22514/SV131.032017.9 Vol.13,Issue S1,May 2017 pp.61-64
Published: 08 May 2017
Background: In recent years, there has been an overall trend toward using less in-vasive hemodynamic monitoring in surgi-cal intensive care units. The pulse contour cardiac output monitor (PiCCO) is one of them.
Objectives: The aim of this study was to evaluate our practice of hemodynamic monitoring with PiCCO in the periopera-tive period.
Methods: A retrospective descriptive analysis was performed in a single general surgical intensive care unit (ICU) run by anesthesiologists for the years 2013-2016. We collected information about patients, ICU quality parameters and monitoring equipment available in the ICU. The pri-mary endpoint was the incidence of PiC-CO use.
Results: Out of 2972 patients admitted to the general surgical ICU in a 4-year pe-riod, besides basic monitoring with elec-trocardiography (ECG), pulse oximetry and blood pressure monitoring, more than half of the patients received central venous catheterization (55.1%), less than the half invasive arterial catheterization (44.1 %) and only a small proportion PiCCO (0.91%). No patient received a pulmonary arterial catheter. Mortality rate was 7.47 %. Conclusion: The use of PiCCO in our ICU is far below reported in literature. In the majority of cases, our anesthesiologists make clinical decisions based on measure-ment of central venous and invasive arte-rial pressure.
hemodynamic monitoring, in-tensive care unit, general surgery
TATJANA GORANOVIĆ,VIŠNJA NESEK ADAM,ELVIRA GRIZELJ-STOJČIĆ,MIROSLAVA JAKŠIĆ,ANA JADRIJEVIĆ,MAJA KARAMAN ILIĆ,MARTINA MATOLIĆ. Current practice of hemodynamic monitoring with PiCCO in a single general surgical ICU in a university hospital - a short report. Signa Vitae. 2017. 13(S1);61-64.
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