Research Article
Hemodynamic Analysis of Pediatric Septic Shock and Cardiogenic Shock Using Transpulmonary Thermodilution
Table 1
Demographics of shock cases and initial PiCCO parameters.
| | Variables | Cardiogenic shock () | Septic shock () | value |
| | Age (years) | 9.1 ± 6.1 | 12.2 ± 4.5 | 0.1 | | Gender | | | 0.43 | | Male | 9 | 21 | | | Female | 4 | 16 | | | Cardiac characteristics | | | | | inotropic equivalent | 30.6 ± 30.3 | 46.4 ± 44.3 | 0.241 | | heart rate, beats/min | 131.5 ± 33.2 | 138.2 ± 27.3 | 0.468 | | Mean arterial pressure, mm Hg | 71.5 ± 15.1 | 69.4 ± 19.2 | 0.71 | | Outcomes | | | | | Length of stay (days) | 53.7 ± 85.7 | 34.8 ± 37.9 | 0.456 | | ICU stay (days) | 28.1 ± 32.2 | 25.1 ± 32.4 | 0.779 | | Mortality | 2 | 22 | 0.016 | | PiCCO parameters (Day 1) | | | | | Cardiac output | | | | | CO, L/min | 2.68 ± 0.79 | 4.22 ± 1.65 | <0.001 | | Cardiac contractility | | | | | CI (L/min/m2) | 2.84 ± 1.02 | 3.75 ± 1.08 | 0.011 | | GEF (%) | 17.8 ± 8 | 27.95 ± 9.15 | 0.001 | | CFI (l/min) | 5.73 ± 2.54 | 9.46 ± 2.76 | <0.001 | | Preload parameters | | | | | GEDVI (mL/m2) | 519.11 ± 134.53 | 420.54 ± 118.01 | 0.017 | | ITBVI (mL/m2) | 648.38 ± 168.38 | 525.23 ± 147.59 | 0.017 | | SVV (%) | 13.84 ± 5.49 | 15 ± 6.5 | 0.568 | | Afterload parameters | | | | | SVRI (dynscm−5m2) | 1936.79 ± 802.41 | 1327.34 ± 705.48 | 0.013 | | Lung parameters | | | | | EVLWI (mL/m2) | 18.46 ± 12.01 | 14.8 ± 12.19 | 0.359 | | PVPI | 3.99 ± 2.79 | 3.88 ± 2.53 | 0.898 |
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ICU = intensive care unit; CO = cardiac output; CI = cardiac index; GEF = global ejection fraction; CFI = cardiac function index; GEDVI = global end-diastolic volume index; ITBVI = intrathoracic blood volume index; SVV = stroke volume variation; SVRI = systemic vascular resistance index; EVLWI = extravascular lung water index; PVPI = pulmonary vascular permeability index.
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