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PiCCO based algorithms - PULSION Medical Systems SE

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11.06.2010 / 3<br />

Prospective Trial of Supranormal Values of Survivors as<br />

Therapeutic Goals in High-Risk Surgical Patients*<br />

William C. Shoemaker, M.D.; Paul L. Appel, M.PA; Harrq B. Kram, M.D.; Kenneth<br />

Waxman, M.D; and Tai-Shion Lee, M.D., F.C.G.P<br />

� High risk patients (n=340)<br />

� Study 1: n=252 patients (n=151 controls,<br />

n=101 GDT), dependend on on call rota<br />

�GDT: DO2 >600 ml·min-1 ·m-2 , CI >4.5<br />

L·min-1 ·m-2 �Controls: DO2 400-550 ml·min-1 ·m-2 , CI<br />

2.8-3.5 L·min-1 ·m-2 � Study 2: n=88 patients, randomised<br />

� Primary endpoint: in-hospital mortality<br />

Mortality Patients (%)<br />

40<br />

30<br />

20<br />

10<br />

0<br />

Control1<br />

*<br />

Protocol 1<br />

Control 2<br />

Protocol 2<br />

*

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