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KMID : 0356919960300030291
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Korean Journal of Anesthesiology
1996 Volume.30 No. 3 p.291 ~ p.299
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Diagnostic and Therapeutic Impacts of Hemodynamic Data from Pulmonary Artery Catheterization in Critically III Patients
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방은치
고신옥/남순호/김종래/조혜원
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Abstract
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Background:
@EN The hemodynamic status of critically ill patients is poorly predicted from clinical examination and chest x-ray findings, so equipments such as pulmonary artery catheter are needed for monitoring of hemodynamics. The authors undertook this
study to
evaluate physician's accuracy in predicting hemodynamic profiles, rates of therapeutic change resulting from catheterization and to compare the outcomes with or without therapeutic changes.
@ES Methods:
@EN Pulmonary artery catheters were inserted in 19 critically ill patients. The physician's accuracy of predicting the hemodynamic profile, the rate of therapeutic changes by monitoring actual hemodynamic profiles were calculated and compared to
the
outcome between the patients with and without therapeutic change.
@ES Results:
@EN Hemodynamic profiles were correctly predicted in 63% of all cases. Hemodynamic data from pulmonary artery catheter made the therapeutic plan changed in 53% of all cases. The cardiac index and left ventricular stroke work index were improved
and
the
mortality rate was lower in patients with therapeutic changes, but there were no significant statistical differences between the patients with and without therapeutic changes. Complications occurred in 6 cases but had no effect on patient' s
outcome.
@ES Conclusions:
@EN Hemodynamic data from a pulmonary artery catheter could lead to a more accurate diagnosis and therapeutic changes.
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KEYWORD
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