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Volume 6 Issue 1 (January, 2018)

Original Articles

Comparison of two fluid-management strategies in acute lung injury following traumatic injuries to chest
Raj Kumar Garg, Ajeet Kumar

Background: Acute lung injury (ALI) and the acute respiratory distress syndrome (ARDS) are common complications in patients with traumatic injuries. The present study was conducted to compare two fluid-management strategies in acute lung injury following traumatic injuries to chest. Materials & methods: The present study was conducted on 86 patients of lung injuries following traumatic chest injuries of both genders. Patients were divided into 2 groups of 43 each. Group I patients received conservative fluid management Pulmonary-Artery Catheter (PAC) and group II patients received liberal fluid management using Central Venous Catheter (CVC). Results: Out of 86 patients, males were 48 and females were 38. APACHE score in group I was 93.1 and in group II was 95.1, primary lung injury in group I was pneumonia seen 3 in group I, 4 in group II, sepsis in 5 in group I and 7 in group II, trauma 31 in group I and 28 in group II, aspiration 4 in group I and 3 in group II. Mean arterial pressure was 77.5 mm Hg in group I and 72.3 mm Hg in group II CVP was 11.4 and 12.6 in both groups, cardiac index was 4.5 in group I and 4.6 in group II. The difference was non- significant (P> 0.05). Conclusion: Authors found that lung injury is commonly encountered in chest trauma. Primary lung injury was pneumonia, sepsis, trauma and aspiration. Key words: Chest injury, Pneumonia, sepsis

 
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