| Title | Application of Pulse Contour Cardiac Output (PiCCO) System for Adequate Fluid Management in a Patient with Severe Reexpansion Pulmonary Edema. | | Author(s) | Hung MH, Chan KC, Chang CY, Jeng CS, Cheng YJ | | Institution | Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan, R.O.C. | | Source | Acta Anaesthesiol Taiwan 2008 Dec; 46(4):187-90. | | Abstract | We report a case of severe reexpansion pulmonary edema that occurred immediately after reinflation of a collapsed lung by rapid negative pressure drainage of prolonged malignant pleural effusion and pneumohemothorax. Although hemodynamic stability was difficult to maintain under aggressive treatment with inhalation of nitric oxide, inotropics and prostacyclin infusion, conventional pulmonary artery catheterization was not adequate for surveillance and adjustment of fluid therapy. For balancing the preload and the extent of pulmonary edema, pulse contour cardiac output monitoring using a single transpulmonary thermal dilution technique was applied to achieve optimal cardiac preload for organ perfusion and to prevent worsening of pulmonary edema from fluid overload. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19097967 |
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