[Hemodynamic correction in children with severe traumatic injuries by the means of transpulmonary hemodilution]

The purpose of the research is t objectify the indications for use of catecholamines and/or change of the infusion therapy volume based on transpulmonary thermodilution in children with severe traumatic injuries. The examined group consisted of 22 children with thermal concomitant or isolated trauma and drowning. All the patents were transferred to the Intensive Care Unit from other hospitals. Hemodynamic parameter estimation was based upon transpulmonary thermodilution. Results indicate, that based upon dynamic assessment of cardiac output, preload (global end diastolic volume index) and postload (systemic vascular resistance index) it is possible to carry out an early targeted correction of the fluid therapy and chose the right type of inotorpic support. Transpulmonary thermodilution in children with severe traumatic injuries allows achieving optimal parameters of blood circulation just 24 hours after its adaption.