Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO

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...

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Autores principales:	Romero P,Carlos, Andresen H,Max, Díaz P,Orlando, Tomicic F,Vinko, Baraona R,Fernando, Mercado F,Marcelo, Pérez C,Carlos, Downey C,Patricio, Dougnac L,Alberto
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Cardiac output Hantavirus pulmonary syndrome Multiple organ failure
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000011
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spelling	oai:scielo:S0034-988720030010000112004-12-07Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCORomero P,CarlosAndresen H,MaxDíaz P,OrlandoTomicic F,VinkoBaraona R,FernandoMercado F,MarceloPérez C,CarlosDowney C,PatricioDougnac L,Alberto Cardiac output Hantavirus pulmonary syndrome Multiple organ failure 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 (PaO2/FiO2 and oxygenation index). PiCCO system may become a helpful tool in the management of patients with Hantavirus Cardiopulmonary Syndrome (Rev Méd Chile 2003; 131: 1173-78)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.10 20032003-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000011es10.4067/S0034-98872003001000011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiac output Hantavirus pulmonary syndrome Multiple organ failure
spellingShingle	Cardiac output Hantavirus pulmonary syndrome Multiple organ failure Romero P,Carlos Andresen H,Max Díaz P,Orlando Tomicic F,Vinko Baraona R,Fernando Mercado F,Marcelo Pérez C,Carlos Downey C,Patricio Dougnac L,Alberto Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO
description	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 (PaO2/FiO2 and oxygenation index). PiCCO system may become a helpful tool in the management of patients with Hantavirus Cardiopulmonary Syndrome (Rev Méd Chile 2003; 131: 1173-78)
author	Romero P,Carlos Andresen H,Max Díaz P,Orlando Tomicic F,Vinko Baraona R,Fernando Mercado F,Marcelo Pérez C,Carlos Downey C,Patricio Dougnac L,Alberto
author_facet	Romero P,Carlos Andresen H,Max Díaz P,Orlando Tomicic F,Vinko Baraona R,Fernando Mercado F,Marcelo Pérez C,Carlos Downey C,Patricio Dougnac L,Alberto
author_sort	Romero P,Carlos
title	Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO
title_short	Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO
title_full	Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO
title_fullStr	Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO
title_full_unstemmed	Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO
title_sort	síndrome cardiopulmonar por hantavirus: utilidad de la monitorización con el sistema picco
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000011
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Síndrome cardiopulmonar por Hantavirus: utilidad de la monitorización con el sistema PiCCO

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