|
PULMONARY HYPERTENSION IN ICU
AN OBSERVATIONAL STUDY
INTRODUCTION
Pulmonary hypertension (PH) is a common problem in the intensive care unit (ICU). PH can arise in critically ill patients as a consequence of acute respiratory distress syndrome, As a result of the mode of mechanical ventilation (MV) used, there is a complication of the patient's underlying disease (e.g.; emphysema, COPD). Additionally, there is a growing appreciation for the significance of primary pulmonary hypertension (PPH) in the ICU. With newer therapies, many individuals with PPH are surviving longer and are, in turn, potentially, are more frequently in need of ICU care. ARDS IS ONE OF THE MOST COMMON CAUSES OF ICU ADMISSION. PA PRESSURE IS FOUND TO BE INCREASED EVEN IN PATIENTS WITH PREVIOUSLY NORMAL PA PRESSURE
AIM
TO MONITOR PA PRESSURE AND OTHER NON IVASIVE AND INVASIVE PARAMETERS IN PATIENTS ADMITTED TO ICU AND THEIR CHANGE IN ICU STAY AND THE EFFECT ON CHANGE OF OUTCOME.
METHODS
The patients admitted in ICU are included in this study. Those patients whose cvp is more than 15 (ij) or more than 18 (femoral). A base line trance thoracic echo will be done to evaluate PA pressure. Those patients who have a PA pressure of more than 25(mean) will be subjected to a PA cath. PA pressure will be recorded 3 times per day along with other parameter PA cath. All parameters will be studied as per the progress of patient and clinical outcome. PA pressure will again be recorded at the time of discharge from ICU and 6 months after discharge from hospital.
RESULT AND UTILIZATION
The result of this observational study will be utilized to study the behavior of PA pressure in ICU patients, to see the residual damage of pulmonary vasculature and to learn how this PA pressure behaves in long term phase. Any new increase in PA pressure or any fresh new change.
Principal Investigator: Lt. Col. Dr. Yasser Mandourah
Director, Department of Intensive Care Services
RMH, Riyadh
Coordinator: Dr. Nadeem Shaikh
Intensivist Cardiologist
RMH, Riyadh
|
