A Novel Method for Measuring Central Venous Pressure to Facilitate Early-Goal Directed Therapy in the Emergency Department

2007 ◽  
Vol 33 (3) ◽  
pp. 336-337
Author(s):  
A.M. Shah ◽  
L. Moreno-Walton ◽  
T. Park ◽  
S. Venkatram
Keyword(s):  
Emergency Department ◽  
Central Venous Pressure ◽  
Venous Pressure ◽  
Central Venous ◽  
Goal Directed Therapy ◽  
Early Goal Directed Therapy ◽  
Novel Method

scholarly journals Retrospective Analysis of the Clinical Efficacy of Early Goal-Directed Therapy Combined with Meticulous Nursing Intervention in Patients with Posttraumatic Sepsis

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Zhe Yuan ◽  
Shilu Yang ◽  
Chunhua Zhang ◽  
Ke Chen ◽  
Minhuan Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Survival Rate ◽  
Venous Pressure ◽  
Nursing Intervention ◽  
Control Group ◽  
Observation Group ◽  
Central Venous ◽  
Goal Directed Therapy ◽  
Early Goal Directed Therapy

Objective. To explore the intervention effect of early goal-directed therapy (EGDT) combined with meticulous nursing on patients with posttraumatic sepsis. Methods. The data of 50 patients with posttraumatic sepsis undergoing EGDT in the emergency department of our hospital from January 2020 to December 2020 were retrospectively analyzed. According to different nursing methods, they were divided into control group (n = 25) with routine nursing measures and observation group (n = 25) with meticulous nursing measures. The application effect of the two nursing modes was scientifically evaluated. Results. No statistical differences in general data were found between the two groups ( P > 0.05 ). After 6 h of intervention, the circulatory function, oxygenation function, and renal function of both groups were better than those before intervention, and central venous pressure (CVP), mean arterial pressure (MAP), blood oxygen (PaO2), oxygenation index (PaO2/FiO2), central venous oxygen saturation (ScvO2), and urine volume in the observation group were notably higher than those in the control group ( P < 0.05 ). The heart rate (HR), serum creatinine (SCr), and blood lactic acid in the observation group were notably lower than those in the control group ( P < 0.05 ). The 28-day survival rate and quality of life after intervention in the observation group were notably higher than those in the control group, with obvious differences between the two groups ( P < 0.05 ). Conclusion. Meticulous nursing intervention for patients with posttraumatic sepsis undergoing EGDT can effectively improve the body’s functional indexes, which is superior to the routine nursing in controlling the patients’ condition, improving the survival rate and quality of life after intervention, and ensuring the clinical treatment effect. Therefore, it is worthy of promotion.

scholarly journals The effects of static and dynamic measurements using transpulmonary thermodilution devices on fluid therapy in septic shock: A systematic review

2020 ◽  
Vol 48 (1) ◽  
pp. 11-24
Author(s):  
Timothy G Scully ◽  
Yifan Huang ◽  
Stephen Huang ◽  
Anthony S McLean ◽  
Sam R Orde
Keyword(s):  
Systematic Review ◽  
Septic Shock ◽  
Fluid Balance ◽  
Fluid Therapy ◽  
Transpulmonary Thermodilution ◽  
Venous Pressure ◽  
Positive Fluid Balance ◽  
Central Venous ◽  
Goal Directed Therapy ◽  
Early Goal Directed Therapy

Transpulmonary thermodilution devices have been widely shown to be accurate in septic shock patients in assessing fluid responsiveness. We conducted a systematic review to assess the relationship between fluid therapy protocols guided by transpulmonary thermodilution devices on fluid balance and the amount of intravenous fluid used in septic shock. We searched MEDLINE, Embase and The Cochrane Library. Studies were eligible for inclusion if they were prospective, parallel trials that were conducted in an intensive care setting in patients with septic shock. The comparator group was either central venous pressure, early goal-directed therapy or pulmonary artery occlusion pressure. Studies assessing only the accuracy of fluid responsiveness prediction by transpulmonary thermodilution devices were excluded. Two reviewers independently performed the search, extracted data and assessed the bias of each study. In total 27 full-text articles were identified for eligibility; of these, nine studies were identified for inclusion in the systematic review. Three of these trials used dynamic parameters derived from transpulmonary thermodilution devices and six used primarily static parameters to guide fluid therapy. There was evidence for a significant reduction in positive fluid balance in four out of the nine studies. From the available studies, the results suggest the benefit of transpulmonary thermodilution monitoring in the septic shock population with regard to reducing positive fluid balance is seen when the devices are utilised for at least 72 hours. Both dynamic and static parameters derived from transpulmonary thermodilution devices appear to lead to a reduction in positive fluid balance in septic shock patients compared to measurements of central venous pressure and early goal-directed therapy.

scholarly journals RETRACTED ARTICLE: Measurement of Central Venous Pressure Using Ultrasound in Emergency Department

2015 ◽  
Vol 17 (12) ◽  
Author(s):  
Ahmad Abbasian ◽  
Hamideh Feiz Disfani ◽  
Mohammad Afzalimoghaddam ◽  
Mohammad Taghi Talebian ◽  
Babak Masoumi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Central Venous Pressure ◽  
Venous Pressure ◽  
Central Venous ◽  
Retracted Article

scholarly journals A novel method for transpulmonary pressure estimation using fluctuation of central venous pressure

2019 ◽  
Vol 34 (4) ◽  
pp. 725-731
Author(s):  
Miyako Kyogoku ◽  
Muneyuki Takeuchi ◽  
Yu Inata ◽  
Nao Okuda ◽  
Yoshiyuki Shimizu ◽  
...  
Keyword(s):  
Central Venous Pressure ◽  
Venous Pressure ◽  
Transpulmonary Pressure ◽  
Central Venous ◽  
Novel Method ◽  
Pressure Estimation

Emergency Department Bedside Ultrasonographic Measurement of the Caval Index for Noninvasive Determination of Low Central Venous Pressure

2010 ◽  
Vol 55 (3) ◽  
pp. 290-295 ◽  
Author(s):  
Arun D. Nagdev ◽  
Roland C. Merchant ◽  
Alfredo Tirado-Gonzalez ◽  
Craig A. Sisson ◽  
Michael C. Murphy
Keyword(s):  
Emergency Department ◽  
Central Venous Pressure ◽  
Venous Pressure ◽  
Central Venous ◽  
Low Central Venous Pressure ◽  
Caval Index
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