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2015, Number 1

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Med Crit 2015; 29 (1)

No invasive monitoring of injured patient. It is useful?

Olivares AB, Porras NAM, Arzave MLR, Delgadillo GS
Full text How to cite this article

Language: Spanish
References: 9
Page: 27-31
PDF size: 275.94 Kb.


Key words:

Bioimpedance, cardiac output, vascular resistance, thoracic fluids.

ABSTRACT

Introduction: Trauma is acute illness of variable severity; there are sudden and unexpected changes secondary to bleeding; there are more and more patients suffering trauma in the world. Kubiek showed that sending a constant electric current parallel to the spine could asees the amount of fluid passing through the aorta; and thereby, supported by Ohm’s law resistance to flow at alternating current so called transthoracic bioimpedance. It is possible to describe the hemodynamic changes that occurred immediately, although there are many parameters were measured to valid the method, cardiac output, vascular resistance and total thoracic fluid.
Objective: Demonstrate that bioimpedance can be applied to TRAUMA, in patients who have lost volume, which are found in systemic response and compensatory mechanisms.
Material and methods: Niccomo bioimpedance monitor was used in 20 patients with homogeneous situations from 01 April to 31 July 2014 in sex, age, weight and volume loss.
Results: Despite being of subjects in clinical similarity, there were significant changes in the parameters measured in response to hypovolemia; however, cardiac output below 4l/min and high percentage of thoracic fluid were associated with death. Without taking into account otters parameters, for purposes of this study is significant in hypovolemia the use of bioimpedance.


REFERENCES

  1. Illescas FGJ. Epidemiología del trauma en la ciudad de México. TRAUMA. 2003;6(2):40-43.

  2. Summers R, Shoemaker W. Bench to bedside: electrophysiologic and clinical principles of noninvasive hemodynamic monitoring using impedance cardiography. Acad Emerg Med. 2003;30(6):669-680.

  3. Ochoa M, McEwen M, et al. Principios de la evaluación hemodinámica no invasiva con cardiografía de impedancia. Revista Colombiana de Cardiología. 2009;16(3):91-102.

  4. Feliciano, Mattox, Moore. Trauma. Cap. 13. Management of shock. 6a edición. Ed. Interamericana; p. 715-760.

  5. Winter U, Kubiek W. Thoracic bioimpedance measurements in Clinical Cardiology. New York: Thieme Medical Publishers; 1994.

  6. Niccomo. Software Manual. CE0197.

  7. van De Water JM, Miller TW, Vogel RL, Mount BE, Dalton ML. Impedance cardiography: the next vital sign technology? Chest. 2003;123(6):2028-2033.

  8. Briones JC, Nuño JC, Díaz-de León Ponce MA. Monitoreo hemodinámico con bioimpedancia torácica en pacientes con preeclampsia severa. Revista de la Asociación Mexicana de Medicina Crítica y Terapia Intensiva. 2012;26(4):201-208.

  9. Folan M, Funk M. Measurement of thoracic fluid. The role of impedance cardiography. AACN Advanced Critical Care. 2008;19(1):47-55.




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C?MO CITAR (Vancouver)

Med Crit. 2015;29