PiCCO (Pulse contour cardiac output) system for monitoring Hantavirus Cardiopulmonary Syndrome: Report of one case Síndrome cardiopulmonar por Hantavirus: Utilidad de la monitorización con el sistema PiCCO

Romero P C.; Andresen H M.; Díaz P. O.; Tomicic F V.; Mercado F M.; Dougnac L A.; Baraona R F.; Pérez C. C.; Downey P.

Keywords: oxygen, water, permeability, heart, therapy, hypertension, reliability, kidney, blood, admission, dopamine, volume, pressure, transplantation, fluid, lung, human, male, serology, capillary, failure, hemodynamics, aged, health, agent, multiple, output, article, correlation, hantavirus, ventilation, oxygenation, parameter, analysis, cefotaxime, pulmonary, vessel, assisted, organ, public, hospital, levofloxacin, syndrome, noradrenalin, antiinfective, case, report, agricultural, worker, Hypertensive, corticosteroid, Extravascular


We report a 68 years old man, farmer from the metropolitan region, admitted with a Hantavirus Cardiopulmonary Syndrome. The diagnosis was made using serologic test and was later confirmed by the Public Health Institute. He evolved to an early multiple organ failure, requiring high concentrations of oxygen and invasive ventilatory assistance, vasopressor drugs and renal replacement therapy. Swan Ganz and PiCCO were used simultaneously for hemodynamic monitoring. Treatment consisted in global support therapy, antimicrobial therapy and systemic corticosteroids. Intrathoracic blood volume was a more reliable parameter than pulmonary capillary wedge pressure for the assessment of preload. As expected in situations of increased vascular permeability, there was an increase in extravascular lung water. There was a good correlation between extravascular lung water and oxygenation parameters (PaO 2/FiO 2 and oxygenation index). PiCCO system may become a helpful tool in the management of patients with Hantavirus Cardiopulmonary Syndrome.

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Título de la Revista: REVISTA MEDICA DE CHILE
Volumen: 131
Número: 10
Editorial: Sociedad Médica de Santiago
Fecha de publicación: 2003
Página de inicio: 1173
Página final: 1178
URL: http://www.scopus.com/inward/record.url?eid=2-s2.0-1542442702&partnerID=q2rCbXpz