Akademik Veri Yönetim Sistemi
Bağcılar Tıp Bülteni, cilt.4, sa.4, ss.86-92, 2019 (Hakemli Dergi)
Objective: Our study aimed to assess the correlation between themeasured PiCCO® parameters and extubation time and intensive careunit (ICU) length of stay in patients who underwent coronary arterybypass grafting (CABG) surgery and were managed by monitorization ofcardiac output and cardiac performance parameters with PiCCO®.Method: This study was conducted by retrospective analysis data of all44 patients who underwent CABG surgery during December 2015-March2016 and were managed through PiCCO® monitorization. The patients’demographic characteristics (age, sex, weight, height, body mass index),American Society of Anesthesiologists physical conditions, comorbidities,ejection fractions, anesthetic management, operative details, hemodynamicdata, PiCCO® parameters, extubation times, cardiovascular surgery ICUlengths of stay, requirements for vasoactive agent and blood transfusion,mortality, and morbidity were recorded from patient records and evaluatedthe correlation between the measured PiCCO® parameters and extubationtime and ICU length of stay inpatients.Results: A significant increase was detected in the parameters of cardiaccontractility and performance monitored with PiCCO® in the postoperativeperiod (p<0.05). No significant correlation was found between PiCCO®parameters and extubation time and ICU length of stay (p<0.05).Conclusion: Coronary revascularization patients managed with theguidance of PiCCO® showed improved myocardial contractility andcardiac performance and no increase beyond what is anticipated in theextubation time and ICU lengths of stay of the patients. Thus, we believethat optimum volume and hemodynamic targets can be achieved inpatients managed through monitorization of cardiac function parameters.