کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2741680 | 1148550 | 2008 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Application of Pulse Contour Cardiac Output (PiCCO) System for Adequate Fluid Management in a Patient with Severe Reexpansion Pulmonary Edema Application of Pulse Contour Cardiac Output (PiCCO) System for Adequate Fluid Management in a Patient with Severe Reexpansion Pulmonary Edema](/preview/png/2741680.png)
We report a case of severe reexpansion pulmonary edema that occurred immediately after reinflation of a collapsed lung by rapid negative pressure drainage of prolonged malignant pleural effusion and pneumohemothorax. Although hemodynamic stability was difficult to maintain under aggressive treatment with inhalation of nitric oxide, inotropics and prostacyclin infusion, conventional pulmonary artery catheterization was not adequate for surveillance and adjustment of fluid therapy. For balancing the preload and the extent of pulmonary edema, pulse contour cardiac output monitoring using a single transpulmonary thermal dilution technique was applied to achieve optimal cardiac preload for organ perfusion and to prevent worsening of pulmonary edema from fluid overload.
Journal: Acta Anaesthesiologica Taiwanica - Volume 46, Issue 4, December 2008, Pages 187-190