Retrospective Analysis Of Fluid Resuscitation In Patients With Rosc After In-hospital Cardiopulmonary Resuscitation

Objective Retrospective analysis and evaluation of liquid type and the proportion used for resuscitation after ROSC.Methods A retrospective study was carried out in100patients who ROSC from2005to2011. According to the survival of24hours or not divided into the death group and survival group. In accordance with the proportion of crystal/colloid ratio (C/C) divided into group A (C/C<1:1,24cases), B (C/C1-2:1,16cases), C (C/C2～3:1,10cases), D(C/C3-4:1,32cases), E (crystal group,18cases). Observe and compare, the total volume of crystals, colloids, mean arterial pressure(MAP) of ROSC after8and24hours,24-hour urine volume,24hours of infusion volume and urine output ratio (referred to as liquid/urine ratio), survived or not after24hours of each groups. Analysis of fluid type and mean arterial blood pressure in24hours. Results The total volume of crystal, colloid,total fluid of the survival group and death group was no significant difference (P=0.101,0.146,0.814). Total urine output and crystal/colloid ratio were positively correlated with whether survival after24hours ROSC (R=0.547, P=0.000; R=0.275, P=0.006). The liquid/urine ratio were negatively correlated with whether survival after24hours ROSC (R=-0.293, P=0.003). The combined group of the crystal colloid has a higher survival rate after ROSC24hours. Group B have a highest survival rate (87.5%) after ROSC24hours. Multiple linear regression analysis showed that MAP was significationally correlated with the total volume of crystal.Conclusions The scheme crystal/colloid ratio between1～2:1for fluid resuscitation have high survival rate. The greater amount of urine, the greater the possibility of existence.24-hour urine volume, crystal/colloid ratio was positively correlated with whether the24-hour survival after ROSC.The liquid/urine ratio was negatively correlated with the24hours whether the survival ofthe ROSC.The factors affecting the survival group in the order of the crystal total amount of the total fluid volume after24-hour MAP. The total urine output was positively correlated with the MAP. And the crystal total was negatively.