A HEMODYNAMIC ECHOCARDIOGRAPHIC EVALUATION PREDICTS PROLONGED MECHANICAL VENTILATION IN SEPTIC PATIENTS: A PILOT STUDY

被引:1
作者
Giraldi, Tiago [1 ,2 ]
Fernandes, Dario Cecilio [1 ]
Matos-Souza, Jose Roberto [1 ]
Santos, Thiago Martins [1 ]
机构
[1] Univ Estadual Campinas, Sch Med Sci, Campinas, SP, Brazil
[2] Univ Estadual Campinas, Dept Internal Med, Discipline Emergency Med, 126 Tessalia Vieira Camargo St,Cidade Univ Zeferin, BR-13083887 Campinas, SP, Brazil
关键词
Sepsis; Artificial respiration; Echocardiography; Hemodynamics; Intensive care unit; Critical illness; MANAGEMENT; FAILURE; SEPSIS; HEART; SHOCK; EPIDEMIOLOGY; DYSFUNCTION;
D O I
10.1016/j.ultrasmedbio.2022.11.001
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
mechanical ventilation (PMV) is common among critically ill septic patients and leads to serious adverse effects. Transthoracic echocardiography (TTE) is an efficient tool for the assessment of septic shock. Our study investigated the relationship between TTE parameters and PMV in mechanically ventilated septic shock patients. TTE was performed in the first 24 h of intensive care unit admission, acquiring data on car-diac output (CO), cardiac index (CI), s' wave (s'), E wave (E), e' wave (e') and E/e' ratio. We compared data on patients who met the criteria for PMV with data on patients who did not. Sixty-four patients were included, 26 of whom met the criteria for PMV. CO, CI and s' were higher in patients who required PMV (5.49 vs. 4.20, p = 0.02; 2.95 vs. 2.34, p = 0.04; and 12.56 vs. 9.81, p = 0.01, respectively). CI correlated with s' (r = 0.37, p < 0.01). The areas under the receiver operating characteristic curves for CO, CI and s' in assessing the need for PMV were, respectively, 0.7 (fair results), 0.69 and 0.68 (poor results). Despite a lack of a prognostic model, the observed differences suggest that hemodynamic TTE could provide information on the risk of PMV in septic shock. (E-mail: giraldi@unicamp.br) (c) 2022 World Federation for Ultrasound in Medicine & Biology. All rights reserved.
引用
收藏
页码:626 / 634
页数:9
相关论文
共 50 条
  • [41] Prediction of prolonged mechanical ventilation for intensive care unit patients: A cohort study
    Sanabria, Alvaro
    Gomez, Ximena
    Vega, Valentin
    Carlos Dominguez, Luis
    Osorio, Camilo
    COLOMBIA MEDICA, 2013, 44 (03): : 184 - 188
  • [42] Multimodal Monitoring for Hemodynamic Categorization and Management of Pediatric Septic Shock: A Pilot Observational Study
    Ranjit, Suchitra
    Aram, Gnanam
    Kissoon, Niranjan
    Ali, Mhd Kashif
    Natraj, Rajeshwari
    Shresti, Sharad
    Jayakumar, Indira
    Gandhi, Deepika
    PEDIATRIC CRITICAL CARE MEDICINE, 2014, 15 (01) : E17 - E26
  • [43] Mechanical Power Density Predicts Prolonged Ventilation Following Double Lung Transplantation
    Ghiani, Alessandro
    Kneidinger, Nikolaus
    Neurohr, Claus
    Frank, Sandra
    Hinske, Ludwig Christian
    Schneider, Christian
    Michel, Sebastian
    Irlbeck, Michael
    TRANSPLANT INTERNATIONAL, 2023, 36
  • [44] Prolonged mechanical ventilation in Alberta: A 10 year historical cohort study
    Munan, Matt
    Hsu, Zoe
    Bakal, Jeffrey A.
    MacIntyre, Erika
    CANADIAN JOURNAL OF RESPIRATORY CRITICAL CARE AND SLEEP MEDICINE, 2023, 7 (02) : 52 - 59
  • [45] Outcomes and prognostic factors in patients with prolonged acute mechanical ventilation: A single-center study in Korea
    Lee, Sang Hee
    Kim, Min Ji
    Jeong, Eun Suk
    Jo, Eun-Jung
    Eom, Jung Seop
    Mok, Jeong Ha
    Kim, Mi Hyun
    Kim, Ki Uk
    Park, Hye-Kyung
    Lee, Min Ki
    Lee, Kwangha
    JOURNAL OF CRITICAL CARE, 2015, 30 (05) : 1016 - 1020
  • [46] Metagenomic Analysis of Plasma Microbial Extracellular Vesicles in Patients Receiving Mechanical Ventilation: A Pilot Study
    Park, Jinkyeong
    Lee, Jae Jun
    Hong, Yoonki
    Seo, Hochan
    Shin, Tae-Seop
    Hong, Ji Young
    JOURNAL OF PERSONALIZED MEDICINE, 2022, 12 (04):
  • [47] Characterization of pediatric patients receiving prolonged mechanical ventilation
    Monteverde, Ezequiel
    Fernandez, Analia
    Poterala, Rossana
    Vidal, Nilda
    Siaba Serrate, Alejandro
    Castelani, Pablo
    Albano, Lidia
    Podesta, Fernanda
    Farias, Julio A.
    PEDIATRIC CRITICAL CARE MEDICINE, 2011, 12 (06) : E287 - E291
  • [48] Mobilization of prolonged mechanical ventilation patients: An integrative review
    Dunn, Heather
    Quinn, Laurie
    Corbridge, Susan J.
    Eldeirawi, Kamal
    Kapella, Mary
    Collins, Eileen G.
    HEART & LUNG, 2017, 46 (04): : 221 - 233
  • [49] Medications for Sedation in Patients With Prolonged Mechanical Ventilation Reply
    Takala, Jukka
    Jakob, Stephan M.
    Ruokonen, Esko
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 307 (24): : 2588 - 2589
  • [50] Determinants of weaning success in patients with prolonged mechanical ventilation
    Carlucci, Annalisa
    Ceriana, Piero
    Prinianakis, Georgios
    Fanfulla, Francesco
    Colombo, Roberto
    Nava, Stefano
    CRITICAL CARE, 2009, 13 (03)