Goal-directed fluid management by bedside transpulmonary hemodynamic monitoring after subarachnoid hemorrhage
Goal-directed fluid management by bedside transpulmonary hemodynamic monitoring after subarachnoid hemorrhage
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DOI：
10.1161/strokeaha.107.484634
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发表时间：
2007-12-01
期刊：
影响因子：
8.3
通讯作者：
Terasaka, Shunsuke
中科院分区：
文献类型：
--
作者：
Mutoh, Tatsushi;Kazumata, Ken;Terasaka, Shunsuke
背景和目的-最佳的心输出量和血管内容量监测对于蛛网膜下腔出血(SAH)患者的良好液体管理至关重要。本研究的目的是证明经肺热稀释先进的血流动力学监测方法的可行性，并提供SAH后早期的描述性数据。心脏指数(L中心点分(-1)，中心点m(-2))、全球舒张末容量指数(700-900毫升/米(2))和血管外肺水指数(
Background and Purpose - Optimal monitoring of cardiac output and intravascular volume is of paramount importance for good fluid management of patients with subarachnoid hemorrhage (SAH). The aim of this study was to demonstrate the feasibility of advanced hemodynamic monitoring with transpulmonary thermodilution and to provide descriptive data early after SAH.Methods - Forty-six patients with SAH treated within 24 hours of the ictus were investigated. Specific targets for cardiac index (>= 3.0 L center dot min(-1) center dot m(-2)), global end-diastolic volume index (700 to 900 mL/m(2)), and extravascular lung water index (