|Title:||Application of pulse contour cardiac output (PiCCO) system for adequate fluid management in a patient with severe reexpansion pulmonary edema||Authors:||MING-HUI HUNG
|Keywords:||Extravascular lung water; Fluid therapy; Pulmonary edemia||Issue Date:||2008||Journal Volume:||46||Journal Issue:||4||Start page/Pages:||187-190||Source:||Acta Anaesthesiologica Taiwanica||Abstract:||
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. ?2008 Taiwan Society of Anesthesiologists.
|DOI:||10.1016/S1875-4597(09)60008-4||SDG/Keyword:||inotropic agent; nitric oxide; prostacyclin; adult; artery catheterization; article; artificial ventilation; blood vessel permeability; case report; disease severity; extubation; female; fluid therapy; heart output; heart preload; hematothorax; hemodynamic parameters; human; hypotension; lung blood vessel; lung collapse; lung edema; lung hemodynamics; lung inflation; patient monitoring; pleura effusion; pneumothorax; positive end expiratory pressure; pulmonary artery; tachycardia; thermodilution; thoracocentesis; thoracotomy; treatment outcome
|Appears in Collections:||醫學院附設醫院 (臺大醫院)|
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