Application of non-invasive hemodynamic monitoring combined with inferior vena cava collapse index in fluid management for patients with septic shock
Objective To explore the application value of non-invasive hemodynamic monitoring combined with inferior vena cava collapse index(IVC-CI)in the treatment of septic shock.Methods 60 patients with septic shock who were treated in our hospital from Jan to Dec in 2023 were selected and randomly divided into the observation group(n=30)and the control group(n=30)by using random number table method.The control group received routine treatment,while the observation group received non-invasive hemodynamic monitoring combined with IVC-CI management on the basis of the control group.The treatment effects between the two groups were observed.Results Compared with the control group,the mechanical ventilation time of the observation group was significantly shorter(P<0.05).Compared with the control group,the fluid resuscitation volume,dosage of vasoactive drugs and continuous renal replacement therapy rate in the observation group were significantly lower(P<0.05).Compared with the control group,the cardiac index(CI),stroke volume(SV)and left ventricular ejection fraction(LVEF)of the observation group after treatment were significantly higher(P<0.05).Compared with the control group,the levels of lactate,procalcitonin(PCT)and N-terminal proBNP(NT-proBNP)in the observation group after treatment were significantly lower(P<0.05).Conclusion The combination of non-invasive hemodynamic monitoring and IVC-CI can shorten mechanical ventilation time,reduce fluid resuscitation volume and dosage of vasoactive drugs,improve heart function,inhibit inflammatory reactions,which has good application value in fluid management of patients with septic shock.
Non-invasive hemodynamicInferior vena cava collapse indexSeptic shockApplication value
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