title: [Hantavirus cardiopulmonary syndrome: utility of the PICCO(Pulse contour cardiac output) system for monitoring].
abstract: 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.
authors.affiliation: Facultad de Medicina, Hospital Clínico de la Pontificia Universidad Católica de Chile, Santiago de Chile. cmromero@puc.cl
authors.forename: Carlos
authors.initials: C
authors.lastname: Romero
authors.forename: Max
authors.initials: M
authors.lastname: Andresen
authors.forename: Orlando
authors.initials: O
authors.lastname: Díaz
authors.forename: Vinko
authors.initials: V
authors.lastname: Tomicic
authors.forename: Fernando
authors.initials: F
authors.lastname: Baraona
authors.forename: Marcelo
authors.initials: M
authors.lastname: Mercado
authors.forename: Carlos
authors.initials: C
authors.lastname: Pérez
authors.forename: Patricio
authors.initials: P
authors.lastname: Downey
authors.forename: Alberto
authors.initials: A
authors.lastname: Dougnac
mesh_terms: D000368:Aged; D002302:Cardiac Output; D018804:Hantavirus Pulmonary Syndrome / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods*; D009102:Multiple Organ Failure / Q000188:drug therapy / Q000503:physiopathology / Q000821:virology