National experts consensus on application of pulse contour cardiac output monitoring technique in severe burn treatment (2018 version)

doi:10.3877/cma.j.issn.1673-9450.2018.06.004

Abstract

Abstract:

As a newly developed technique for hemodynamic monitoring, pulse contour cardiac output (PiCCO) monitoring takes great advantages in guiding shock resuscitation and fluid administration. PiCCO has been used more and more in burn patients in recent years, however there is no clinic consensus on how to apply PiCCO monitoring, understand the significance of PiCCO monitored parameters, and guide the treatment using PiCCO monitored parameters in patients with severe burns. Based on the current literatures and the experts′ clinical experience, national experts consensus on application of pulse contour cardiac output monitoring technique in severe burn treatment (2018 version) is now issued by the Burn and Trauma Branch of Chinese Geriatrics Society, aiming to provide practical guidance for its usage in clinic.

Key words: Burns, Pulse contour cardiac output, Expert consensus

The Burn and Trauma Branch of Chinese Geriatrics Society, Jiaping Zhang, Weiyi Wang. National experts consensus on application of pulse contour cardiac output monitoring technique in severe burn treatment (2018 version)[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2018, 13(06): 416-420.

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URL: https://zhssyxfzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1673-9450.2018.06.004

https://zhssyxfzz.cma-cmc.com.cn/EN/Y2018/V13/I06/416

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References 37

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监测方法	参数	正常范围
	脉搏连续心排血指数	3.0～5.0 L·min^－1·m^－2^[4]
?	平均动脉压	70～90 mmHg
?	每搏输出量指数	40～60 mL/m²
动脉脉搏轮廓分析技术	每搏输出量变异度	≤10%
?	脉压变异	≤10%
?	系统血管阻力指数	1 700～2 400 dyn·sec·cm^－5·m²
?	左心室收缩力指数	900～1 200 mmHg/s
?	心排血指数	3.0～5.0 L·min^－1·m^－2^[4]
?	全心舒张末期容积指数	680～800 mL/m²
?	胸腔内血容量指数	850～1 000 mL/m²
经肺热稀释法	血管外肺水指数	3.0～7.0 mL/kg
?	肺血管通透性指数	1.0～3.0
?	心功能指数	4.5～6.5 L/min
?	全心射血分数	25%～35%

监测方法	参数	正常范围
	脉搏连续心排血指数	3.0～5.0 L·min^－1·m^－2^[4]
?	平均动脉压	70～90 mmHg
?	每搏输出量指数	40～60 mL/m²
动脉脉搏轮廓分析技术	每搏输出量变异度	≤10%
?	脉压变异	≤10%
?	系统血管阻力指数	1 700～2 400 dyn·sec·cm^－5·m²
?	左心室收缩力指数	900～1 200 mmHg/s
?	心排血指数	3.0～5.0 L·min^－1·m^－2^[4]
?	全心舒张末期容积指数	680～800 mL/m²
?	胸腔内血容量指数	850～1 000 mL/m²
经肺热稀释法	血管外肺水指数	3.0～7.0 mL/kg
?	肺血管通透性指数	1.0～3.0
?	心功能指数	4.5～6.5 L/min
?	全心射血分数	25%～35%

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