Central Hemodynamics and Extravascular Lung Water Index in Varying Degrees of Community-Acquired Pneumonia
| Autor: | S. N. Avdeykin, I. N. Tyurin, N. A. Karpun, A. V. Salikov |
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| Jazyk: | English<br />Russian |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Общая реаниматология, Vol 11, Iss 4, Pp 23-32 (2015) |
| Druh dokumentu: | article |
| ISSN: | 1813-9779 2411-7110 |
| DOI: | 10.15360/1813-9779-2015-4-23-32 |
| Popis: | Objective: to assess the specific features of central hemodynamics (CH), extravascular lung water index (EVLWI), and pulmonary oxygenizing function in patients with different outcomes of treatment for severe communityacquired pneumonia (CAP).Subjects and methods. The retrospective study enrolled 57 patients with CAP. According to its outcome, there were 2 groups: 1) 44 patients (33 men and 11 women), whose disease ended in recovery; 2) 13 patients (8 men and 5 women), whose CAP resulted in a fatal out come. The groups did not differ in age (48.1±2.3 and 55.3±4.1 years) and overall disease severity according to the APACHE II (21.5±0.8 and 25.2±2.1 scores) and SOFA (8.7±0.2 and 9.7±1.0 scores) scales (p0.05). All the patients received identical antibiotic therapy. They underwent transpulmonary thermodilution according to the standard procedure. The indicators were daily recorded. The data were statistically processed. A corre lation analysis was made calculating the correlation coefficients (r). The significance of differences was estimated by the Student's ttest or Mann-Whitney test.Results. On day 1 of followup, the patients in both groups were prone to arterial hypotension, had tachycardia, lower or nearnormal central venous pressure (CVP). Group 1 versus Group 2 had higher cardiac index (CI) (2.9±0.2 and 2.1±0.1 l/min/m2 ) and global ejection fraction (GEF) (22.5±1 and 15.8±1.7%) (p |
| Databáze: | Directory of Open Access Journals |
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