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Management with Guidance of Minimally Invasive Cardiac Output Monitoring (PiCCO®) in Coronary Artery Bypass Surgery and Postoperative Results

Gökhan Bostan, FUNDA GUMUS OZCAN, Serdar Demirgan, Ali Özalp, Kerem Erkalp, Ayşin Selcan.




Abstract

Objective: Our study aimed to assess the correlation between the measured PiCCO® parameters and extubation time and intensive care unit length of stay in patients who underwent coronary artery bypass grafting (CABG) surgery and were managed by monitorization of cardiac output and cardiac performance parameters with PiCCO.
Method:
This study was conducted by retrospective analysis data of all 44 patients who underwent CABG surgery during December 2015-March 2016 and were managed through PiCCO® monitorization, having obtaining approval (17.03.2016-2016/449) of the Ethics Board of Health Sciences University, Istanbul Bagcılar Training and Research Hospital. The patients’
demographic characteristics (age, sex, weight, height, body mass index), ASA (American Society of Anesthesiologists) physical conditions, comorbidities, ejection fractions, anesthetic management, operative details, hemodynamic data, PiCCO parameters, extubation times, cardiovascular surgery ICU lengths of stay, requirements for vasoactive agent and blood transfusion, mortality, and morbidity were recorded from patient records and evaluated the correlation between the measured PiCCO® parameters and extubation time and intensive care unit length of stay in patients.
Results: A significant increase was detected in the parameters of cardiac contractility and performance monitored with PiCCO in the postoperative period (p

Key words: Coronary artery bypass surgery, PiCCO, cardiac output monitoring






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