综合超声波方法来评估重症患者的液体反应能力
Francesca Innocenti1, Caterina Savinelli2, Alessandro Coppa2
1High-Dependency Unit, Department of Clinical and Experimental Medicine, Azienda Ospedaliero-Universitaria Careggi, Lg. Brambilla 3, 50134, Florence, Italy. innocenti.fra66@gmail.com.
Scientific reports
|June 6, 2023
概括
这项研究表明,结合心声谱和肺超声波,可以有效地评估重症患者的液体反应能力. 这种方法有助于减少不需要的液体管理在非液体响应的个人.
科学领域:
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
背景情况:
- 急性循环衰竭需要精确的流体管理.
- 评估液体响应 (FR) 对于优化治疗至关重要.
- 目前用于FR评估的方法可能是侵入性的或耗时的.
研究的目的:
- 评估结合心声学和肺超声波方法的可行性,以评估急性循环衰竭中的液体反应.
- 确定这种综合方法是否可以指导流体治疗,并减少对非流体反应的患者的流体管理.
主要方法:
- 纳入了113名急性循环衰竭患者.
- 使用下静脉缩指数 (IVCCI) 和被动腿抬起 (PLR) 期间的大动脉流量变化 (VTIAo) 评估了液体反应.
- 肺部超声波用于检测间歇性综合征.
主要成果:
- 结合的方法成功地确定了流体响应 (FR) 和非流体响应 (非FR) 患者.
- 与FR患者 (2010 ± 1254毫升) 相比,非FR患者在12小时内获得的液体显著减少 (1119 ± 410毫升) (p < 0.001).
- 治疗计划的变化很小 (9%非FR,12%FR),表明初始策略稳定.
结论:
- 结合心声回声和肺超声波是评估急性循环衰竭中流体反应的可行方法.
- 这种综合方法促进了有针对性的流体管理,从而减少了对非流体反应的患者的流体管理.
- 肺部超声波的使用可以为这些患者的指导治疗提供额外的信息.
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