Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO / Hantavirus cardiopulmonary syndrome: utility of the PICCO(Pulse contour cardiac output) system for monitoring
Rev. méd. Chile
;
131(10): 1173-1178, oct. 2003.
Artigo
em Espanhol
| LILACS
| ID: lil-355978
RESUMO
We report a 68 years old man, farmer from the metropolitan region, admitted with a Hantavirus Cardiopulmonary Syndrome. The diagnosis was made using serologic test and was later confirmed by the Public Health Institute. He evolved to an early multiple organ failure, requiring high concentrations of oxygen and invasive ventilatory assistance, vasopressor drugs and renal replacement therapy. Swan Ganz and PiCCO were used simultaneously for hemodynamic monitoring. Treatment consisted in global support therapy, antimicrobial therapy and systemic corticosteroids. Intrathoracic blood volume was a more reliable parameter than pulmonary capillary wedge pressure for the assessment of preload. As expected in situations of increased vascular permeability, there was an increase in extravascular lung water. There was a good correlation between extravascular lung water and oxygenation parameters (PaO2/FiO2 and oxygenation index). PiCCO system may become a helpful tool in the management of patients with Hantavirus Cardiopulmonary Syndrome.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Débito Cardíaco
/
Síndrome Pulmonar por Hantavirus
/
Monitorização Fisiológica
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2003
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL
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