Alavi, M. and Hadipourzadeh, F. and Azarfarin, R. and Babaee, T. and Ziyaeifard, M. (2020) Effects of advanced hemodynamic monitoring on the postoperative intubation time in patients with moderate-to-severe left ventricular dysfunction undergoing cardiac surgery. Iranian Heart Journal, 21 (4). pp. 25-32.
Full text not available from this repository.Abstract
Background: Advanced monitoring can lead to the early recovery of patients in complicated and high-risk surgical operations. The aim of this study was to evaluate the effects of advanced monitoring on the hemodynamics of patients undergoing cardiac surgery. Methods: In this study, patients undergoing cardiac surgery were divided into 2 groups of control and advanced monitoring. In each group, 25 patients were examined. The patients had moderate-to-severe left ventricular dysfunction (ejection fraction < 35). The patients in the case group were placed on the FloTrac cardiac output monitor, which is used as a therapeutic guide in the operating room and the intensive care unit (ICU). Results: Upon ICU admission, the average stroke volume variation and the mean cardiac index in the advanced monitoring group in the first 6 hours were 10 and 2.7, respectively, and in the second 6 hours were 11 and 2.8, correspondingly. The mean serum level administered was 1000 cc in the first 6 hours and 500 cc in the second 6 hours. In the control group, the mean serum level administered was 2000 cc in the first 6 hours and 500 cc in the second 6 hours, which had a significant relationship between the 2 groups in the first 6 hours (P = 0.01). Additionally, 84 of the patients with advanced monitoring were extubated in the first 6 hours (P = 0.0). Conclusions: This study showed that cardiac surgery in patients with moderate-to-severe left ventricular dysfunction using advanced monitoring and goal-directed hemodynamic therapy based on the cardiac index, the stroke volume variation, and the stroke volume index reduced the duration of intubation after surgery. © 2020, Iranian Heart Association. All rights reserved.
| Item Type: | Article |
|---|---|
| Additional Information: | cited By 0 |
| Subjects: | WG Cardiovascular System |
| Depositing User: | eprints admin |
| Date Deposited: | 14 Jun 2021 04:27 |
| Last Modified: | 14 Jun 2021 04:27 |
| URI: | http://eprints.iums.ac.ir/id/eprint/34067 |
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