Clinical application of bedside cardiopulmonary ultrasound in early fluid resuscitation of ICU patients after cardiac surgery
Objective:To assess the clinical value of applying bedside cardiopulmonary ultrasound in early fluid assessment in patients after cardiac surgery.Methods:Eighty-two post-cardiac surgery patients admitted to our hospital were included from January 2020 to December 2022,and randomly divided into observational group(n=41)and control group(n=41)using the random number table method.All patients received standardized treatment after surgery.Early fluid resuscitation was implemented based on the patient's central venous pressure in the control group and bedside cardiopulmonary ultrasound in the observational group.Two groups were compared regarding vital signs,cardiac function indicators and fluid replacement volume within 24 hours after surgery.The mechanical ventilation time,duration of vasopressor use and length of ICU stay were recorded and follow-up was conducted for one month to compare the prognosis of patients in two groups.Results:The heart rate,respiratory rate and fluid replacement volume of patients in the observational group at 24 hours after surgery were significantly lower than those of the control group(P＜0.05),and the mean arterial pressure was significantly higher(P＜0.05).The observational group had significantly shorter mechanical ventilation time,duration of vasopressor use and length of ICU stay(P＜0.05).There was no case of reoperation in the observational group,whereas reoperation was required in one case in the control group.No death occurred at one-month follow-up in the observational group,yet there was one death in the control group.Conclusion:Bedside cardiopulmonary ultrasound-guided fluid management shows promising efficacy in post-operative cardiac surgery patients in ICU,which helps to reduce fluid replacement volume and shorten mechanical ventilation time,duration of vasopressor use and length of ICU stay.
bedside cardiopulmonary ultrasoundintensive care unitcardiac surgeryearly fluid assessment
万方数据
维普
