工具和措施的性能预测流体响应在儿科休克和危急疾病:一个系统的审查和元分析
Sarah B Walker1,2, Jessica M Winters3, Jacob M Schauer2
1Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL.
概括
预测儿童的液体反应性表明整体表现不佳. 儿科重症监护室 (PICU) 的设置降低了准确性,而休克状态则改善了它,这表明需要有针对性的研究.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 临床生理学 临床生理学
- 基于证据的医学是基于证据的医学.
背景情况:
- 流体反应对于管理重症儿童至关重要.
- 流体响应性的预测工具被广泛使用,但它们的性能各不相同.
- 了解影响预测工具准确性的因素对于优化患者护理至关重要.
结论:
- 进一步的研究应该集中在评估冲击复苏期间预测工具的性能.
- 未来的研究需要将预测工具与参考测试区分开来,特别是超声波.
- 研究应该优先考虑减少冲击状态的时间,而不是仅仅增加预负载.
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