透气功能障碍和急性病患者的液体平衡之间的关联在机械通风的断奶期间
Luis Zapata1, Juan Carlos Suarez-Montero1, Paula Andrea López-Garzón2
1Department of Intensive Care, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Medicina intensiva
|June 28, 2023
概括
机械通风断奶期间的透气功能障碍与流体平衡问题有关,特别是在老年患者中. 管理液体平衡对于成功的断奶结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
- 肺部医学 肺部医学
背景情况:
- 从机械通风中断患者可能是具有挑战性的.
- 腹筋功能障碍和液体平衡是导致断奶失败的潜在因素.
研究的目的:
- 评估透缩功能障碍和液体平衡在预测断奶失败中的作用.
- 为了研究体液平衡,腹筋功能和患者年龄在断奶结果中的相互作用.
主要方法:
- 在大学医院ICU进行前性观察性研究.
- 机械通风>48小时的成年患者在自发呼吸试验 (SBT) 之前和之后接受了心声回声扫描.
- 根据断奶成功或失败,患者被分组.
主要成果:
- 在89名患者中,37%的患者出现了断奶失败.
- 在SBT后的透析功能障碍在失败组中更为常见 (39.3%与17.8%相比).
- 液体平衡在最初的SBT日对失败的负面影响较小,在SBT后对失败的负面影响较大,特别是在老年患者中.
结论:
- 扩张功能障碍有助于断奶失败,特别是当与积极的液体平衡和晚年相关时.
- 流体管理时间可能对改善腹功能和断奶成功至关重要.
- 年龄加大了流体平衡在断奶期间对透静功能的负面影响.
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