The Effects of High-volume Hemofiltration by Different Ultrasound Directing on Extra Vascular Lung Water Index in Patients with Septic Shock

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REN Hongsheng; SONG Bo; LI Pengcheng; HUANG CHENG; CHU Yufeng; DING DING; WANG Yuping; YAO Qingchun; WANG PENG; QI Guoqiang; WANG Chunting

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Journal: Iranian Journal of Public Health Year:2018 | Volume:47 | Issue:9 Page(s): 1244-1252

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Title

The Effects of High-volume Hemofiltration by Different Ultrasound Directing on Extra Vascular Lung Water Index in Patients with Septic Shock

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Keywords

Critical bedside ultrasound

Septic shock

High-volume hemofiltration

Abstract

Background: We explored the effects of High-volume hemofiltration(HVHF) by different ultrasound direct-ing on the plasma N-terminal pro-B-type natriuretic peptide(NT-Pro-BNP), extra vascular lung water index (EVLWI), liquid net balance quantity and prognosis in patients with Septic shock. Methods: Overall, 107 intensive patients with Septic shock were enrolled by retrospective analysis from De-partment of Intensive Care Unit (ICU) of the Shandong Provincial Hospital affiliated to Shandong University from 2014-2017. According to HVHF by different ultrasound directing, all the patients were divided into two groups ((ultrasonic cardiac output monitor (USCOM), group A, n=51cases)) and ((Critical bedside ultrasound (CBU), group B, n=56cases)). Results: The value of CI in group A had a significant positive correlation with the value of PCCI by the PiC-CO2 monitoring (P＜ 0. 05). The lung ultrasound water B lines in group B also had a significant positive corre-lation with the value of EVLWI by the PiCCO2 monitoring. The cumulative liquid net balance quantity in group B had a more significant elevation than group A after treatment 7th d. The level of EVLWI after treat-ment 48 h and 72 h, the level of plasma NT-Pro-BNP, the levels of P(A-a)DO2, OI and blood lactic after treatment 72 h, and the APACHEⅡ scores and SOFA scores after treatment 7thd were reduced more signifi-cantly in group B than group A (P<0. 001). The mortality at 28th day had a more significant decrease in group B than group A. Conclusion: It could decrease the level of NT-Pro-BNP, EVLWI, P(A-a)DO2, which then improves pulmo-nary oxygenation. Consequently, it decreased the APACHEⅡ and SOFA scores and improved the 28th sur-vival rate of patients.

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APA: Copy

REN, Hongsheng, SONG, Bo, LI, Pengcheng, HUANG, CHENG, CHU, Yufeng, DING, DING, WANG, Yuping, YAO, Qingchun, WANG, PENG, QI, Guoqiang, & WANG, Chunting. (2018). The Effects of High-volume Hemofiltration by Different Ultrasound Directing on Extra Vascular Lung Water Index in Patients with Septic Shock. IRANIAN JOURNAL OF PUBLIC HEALTH, 47(9), 1244-1252. SID. https://sid.ir/paper/274881/en

Vancouver: Copy

REN Hongsheng, SONG Bo, LI Pengcheng, HUANG CHENG, CHU Yufeng, DING DING, WANG Yuping, YAO Qingchun, WANG PENG, QI Guoqiang, WANG Chunting. The Effects of High-volume Hemofiltration by Different Ultrasound Directing on Extra Vascular Lung Water Index in Patients with Septic Shock. IRANIAN JOURNAL OF PUBLIC HEALTH[Internet]. 2018;47(9):1244-1252. Available from: https://sid.ir/paper/274881/en

IEEE: Copy

Hongsheng REN, Bo SONG, Pengcheng LI, CHENG HUANG, Yufeng CHU, DING DING, Yuping WANG, Qingchun YAO, PENG WANG, Guoqiang QI, and Chunting WANG, “The Effects of High-volume Hemofiltration by Different Ultrasound Directing on Extra Vascular Lung Water Index in Patients with Septic Shock,” IRANIAN JOURNAL OF PUBLIC HEALTH, vol. 47, no. 9, pp. 1244–1252, 2018, [Online]. Available: https://sid.ir/paper/274881/en

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