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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/9823
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dc.contributor.authorCamerzan, Iraida
dc.contributor.authorCozonac, Gheorghe
dc.contributor.authorGarbuz, Victor
dc.contributor.authorGuţu-Bahov, Cornelia
dc.date.accessioned2020-05-25T18:30:23Z
dc.date.available2020-05-25T18:30:23Z
dc.date.issued2018
dc.identifier.citationBELÎI, Natalia. Impactul durerii postoperatorii persistente asupra sănătății fizice ca element al calității vieții = The impact of persistent post-surgical pain on the physical health as the element of the quality of life. In: The Moldovan Medical Journal. 2018, vol. 61 (AIC congress issue), september, p. 27. ISSN 2537-6381.en_US
dc.identifier.issn2537-6381
dc.identifier.urihttp://moldmedjournal.md/wp-content/uploads/2018/09/61-4-ATI-Congres.pdf
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/9823
dc.descriptionSf. Treime Municipal Clinical Hospital, Intensive Care Unit, Chisinau, the Republic of Moldova, Department of Anesthesiology and Reanimatology No 2, Nicolae Testemitsanu State University of Medicine and Pharmacy, Chisinau, the Republic of Moldova, The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care September 27-29, 2018, Chisinau, the Republic of Moldovaen_US
dc.description.abstractBackground: Currently, the correction guidelines of shocks of different genesis recommend PiCCO monitoring for infusion and vasopressor therapy. Purpose: assessing the impact of PiCCO technology on the cost/effectiveness principle in the ICU. Material and methods: The retrospective study was performed on a group of 125 critical patients divided into two groups, requiring vasopressors, inotropes or infusion therapy, hospitalized during the period 2017-2018 in ICU of the SCM “Sf. Treime”. The treatment was different depending on the reanimatological syndrome. Patients in group I (n = 60) were subjected to PiCCO-guided intensive therapy by measuring dynamic and volumetric parameters, ScvO2, SaO2, MAP, and group II (n = 65) - intensive therapy guided by measuring static parameters (PVC, ScvO2, MAP), with an insignificant difference in age and sex. Results: According to the study data, patients in group I received a higher APACHE II at hospitalization in ICU (lot I (APACHE 26, ISS 14) versus lot II (APACHE 24 p, ISS score 13), and at the end of the treatment – reduction of the hospitalization time in ICU (lot I (5.4 days) versus lot II (7.8 days) but with insignificant influence on the death rate. At the same time, it was noted a reduction in lethality in patients with ketoacidosis (lot I (14.28%) versus lot II (27.27%) in patients with IRA (lot I (0%) versus lot II (16.66%). Conclusions: Guided intensive therapy with PiCCO technology showed a 2.4 days/bed reduction, which implies lower costs ICU, but with an insignificant impact on lethality rates, especially in cardiogenic shock, septic shock, ARDS (Phase III). At the same time, there was a reduction of lethality in cases of ketoacidosis and IRA.
dc.description.abstractIntroducere: Actualmente ghidurile de corecție a șocurilor de diferită geneză recomandă aplicarea monitoringului PiCCO pentru ghidarea terapiei infuzionale şi vasopresoare. Scop: Evaluarea impactului tehnologiei PiCCO asupra principiului cost-eficiență în UTI. Material şi metode: Studiul retrospectiv a fost efectuat pe un lot de 125 pacienți critici, spitalizați în perioada 2017-2018 în UTI din SCM ”Sfânta Treime”, divizați în două loturi, cu administrarea suportului vasopresor, inotrop sau terapiei infuzionale. Tratamentul administrat a fost diferit, în dependență de sindromul reanimatologic. Pacienții din lotul I (n=60) au fost supuși terapiei intensive ghidate cu PiCCO prin măsurarea parametrilor dinamici și volumetrici, ScvO2, SaO2, MAP, iar cei din lotul II (n=65) – terapiei intensive ghidate prin măsurarea parametrilor statici (PVC, ScvO2, MAP), cu o diferență nesemnificativă de vârstă și sex. Rezultate: Conform rezultatelor studiului, pacienții din lotul I au înregistrat la internare în UTI un scor APACHE II mai mare (APACHE 26, ISS 14 ) vs lotul II (APACHE 24 p, ISS scor 13), iar la sfârșitul tratamentului - reducerea timpului aflării în UTI (lot I ( 5.4 zile) vs lot II ( 7.8 zile)), dar cu o influență nesemnificativă asupra ratei mortalității. Totodată s-a observat o reducere a ratei letalității la pacienții cu cetoacidoză (lot I (14.28 %) vs lot II (27.27 %)), la pacienții cu IRA (lot I (0%) vs lot II (16.66 %)). Concluzii: Ghidarea terapiei intensive prin tehnologia PiCCO a demonstrat o reducere a duratei spitalizării în UTI cu 2.4 zile/ pat, ceea ce presupune costuri mai reduse, dar a avut un impact neînsemnat asupra ratei letalității, mai ales în șocul cardiogen, șocul septic, ARDS (faza III). Totoadată s-a înregistrat o reducere a letalității în cazurile cu cetoacidoză și IRA.
dc.language.isoenen_US
dc.publisherThe Scientific Medical Association of the Republic of Moldovaen_US
dc.relation.ispartofThe Moldovan Medical Journal: The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care September 27-29, 2018, Chisinau, the Republic of Moldova
dc.subjectPiCCO techniqueen_US
dc.subjectcost / efficiencyen_US
dc.subjectlethalityen_US
dc.titleThe impact of pulse index continuous cardiac output technology on cost/efficiency in ICU. First experienceen_US
dc.title.alternativeImpactul tehnologiei pulsului contur debitului cardiac asupra principiului cost-eficiență în UTI. Prima experiență
dc.typeArticleen_US
Appears in Collections:The Moldovan Medical Journal, Vol. 61, September 2018 AIC Congress Issue

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