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Original Research

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First measured intrathoracic blood volume in icu patients indicates the appropriateness of circulatory volume management

  • JASMINKA KOPIĆ1
  • IVAN MIRKOVIĆ1
  • IVAN LUČIĆ1
  • ASJA AJDINOVIĆ1
  • MATIJA JURJEVIĆ 1

1Department of Anaesthesiology and Intensive Care, «Dr. Josip Benčević» General Hospital

DOI: 10.22514/SV21.042007.4 Vol.2,Issue 1,April 2007 pp.18-20

Published: 20 April 2007

*Corresponding Author(s): JASMINKA KOPIĆ E-mail: jasminka.kopic@bolnicasb.hr

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Abstract

Hemodynamic monitoring in Intensive Care Unit (ICU) settings is usually introduced when a patient becomes hemodynamically unstable. We analyzed how empirically guided volume management relates to first measured intrathoracic blood volume (ITBV), at the moment of the beginning of Puls Contour Cardiac Output (PiCCO) hemodynamic monitoring.

Data and measurements from 37 ICU patients, divided into four groups according to diagnosis of primary condition, were retrospectively studied. The first group consisted of polytrauma patients, second group of patients with pancreatitis and/or peritonitis, third group were postoperative patients, and fourth group were patients with various medical diagnosis: sepsis, acute respiratory distress syndrome (ARDS), acute lung failure (ALF), and acute heart failure (AHF). PiCCO monitor was introduced when the signs of hemodynamic instability were observed. First measured ITBV was recorded and analyzed according to deviation from reference values.

First measured ITBV was in reference range in 14 (37.8%) patients. Volume overloading was observed in 16 (43.2%) and hypovolemia in 7 (18.9%) patients.

The observed inappropriate blood volume in patients of all studied groups suggests that there is the need for defining indications and earlier application of hemodynamic monitoring, as well as reassessment of usual empirically guided infusion therapy in ICU setting.

Key words

hemodynamic process, intensive care, hypovolemia, moni-toring 

Cite And Share

JASMINKA KOPIĆ,IVAN MIRKOVIĆ,IVAN LUČIĆ,ASJA AJDINOVIĆ,MATIJA JURJEVIĆ . First measured intrathoracic blood volume in icu patients indicates the appropriateness of circulatory volume management. Signa Vitae. 2007. 2(1);18-20.

References

01. Sakka SG, Meier-Hellmann A, Reinhart K. Assessment of intrathoracic blood volume and extravascular lung water by single transpulmonary thermodilution. Intensive Care Med 2000;26:180-187.

02. Lichtwarck-Aschoff M, Zeravik J, Pfeiffer U. Intrathoracic blood volume accurately reflects circulatory volume status in critically ill patients with mechanical ventilation. Intensive Care Med 1992;18:142-147.

03. Lichtwarck-Aschoff M, Beale R, Pfeiffer UJ. Central venous pressure, pulmonary artery occlusion pressure, intrathoracic blood volume, and right ventricular end-diastolic volume as indicators of cardiac preload. J Crit Care 1996;11:180-188.

04. Bindels AJGH, Hoeven JG, Graafland AD, de Koning J, Meinders AE. Relationships between volume and pressure measurements and stroke volume in critically ill patients. Crit Care 2000;4:193-199.

05. Barker SJ. Blood volume measurement The next intraoperative monitor? Anesthesiology 1998;1310-1312.

06. Hedenstierna G. What value does the recording of intrathoracic blood volume have in clinical practice? Intensive Care Med 1992;18:137-138.

07. Azriel P. Intrathoracic blood volume and global end-diastolic volume should be included among indexes used in intensive care for assess-ment of fluid responsiveness in spontaneously breathing patients. Crit Care Med 2006;34:2266-2267.

08. Androne AS, Hryniewicz K, Hudaihed A, Mancini D, Lamanca J, Katz SD. Relation of unrecognized hypervolemia in chronic heart failure to clinical status, hemodynamics, and patient outcomes. Am J Cardiol 2004;93:1254-1259.

09. Brock H, Gabriel CB, Necek S. Monitoring intravascular volumes for postoperative volume therapy. Eur J Anaesthesiol 2002;19:288-294.

10. Hudson E. Beale R. Lung water and blood volume measurements in the critically ill. Curr Opin Crit Care 2000;6:222-226.

11. Boldt J. Clinical review: Hemodynamic monitoring in intensive care unit. Critical Care 2002;6:52-59.

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