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The PiCCO system The PiCCO system

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<strong>The</strong> PiCClin Study<br />

II: Change of therapeutic plan following advanced<br />

rdiopulmonary monitoring in critically ill patients.<br />

Original therapeutic plan<br />

Fluids<br />

(n=315)<br />

Pursued<br />

67.6%<br />

Changed<br />

32.4%<br />

Inotropes<br />

78.4%<br />

21.6%<br />

Vasoconstrictors<br />

Diuretics<br />

77.5%<br />

86.1%<br />

22.5%<br />

13.9%<br />

Forty-six patients with SAH treated within 24 hours of the<br />

ictus were investigated.<br />

A fluid management protocol emphasizing supplemental<br />

colloid administration was used to attain the following<br />

targets:<br />

‣ CI - 3.0 L/min/m 2<br />

‣ GEDVi - 700-900 mL/m 2<br />

‣ EVLW < 14 mL/kg<br />

20

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