Current practice of hemodynamic monitoring with PiCCO in a single general surgical ICU in a university hospital - a short report

Abstract

Background: In recent years, there has been an overall trend toward using less in-vasive hemodynamic monitoring in surgi-cal intensive care units. The pulse contour cardiac output monitor (PiCCO) is one of them. Objectives: The aim of this study was to evaluate our practice of hemodynamic monitoring with PiCCO in the periopera-tive period. Methods: A retrospective descriptive analysis was performed in a single general surgical intensive care unit (ICU) run by anesthesiologists for the years 2013-2016. We collected information about patients, ICU quality parameters and monitoring equipment available in the ICU. The pri-mary endpoint was the incidence of PiC-CO use. Results: Out of 2972 patients admitted to the general surgical ICU in a 4-year pe-riod, besides basic monitoring with elec-trocardiography (ECG), pulse oximetry and blood pressure monitoring, more than half of the patients received central venous catheterization (55.1%), less than the half invasive arterial catheterization (44.1 %) and only a small proportion PiCCO (0.91%). No patient received a pulmonary arterial catheter. Mortality rate was 7.47 %. Conclusion: The use of PiCCO in our ICU is far below reported in literature. In the majority of cases, our anesthesiologists make clinical decisions based on measure-ment of central venous and invasive arte-rial pressure.