手术后的动脉低血压:没有人注意到的敌人
M I Monge García1, I Jiménez López2, J V Lorente Olazábal3
1Hospital Universitario SAS Jerez, Jerez de la Frontera, Cádiz, Spain.
Revista espanola de anestesiologia y reanimacion
|August 31, 2023
概括
术后低血压是一个严重但可修改的风险,经常被低估. 这份文件强调了其临床影响和技术挑战,以改善患者的治疗结果和降低医疗保健成本.
科学领域:
- 麻醉学和重症监护医学
- 医疗保健管理的管理
- 医疗技术 医疗技术 医学技术
背景情况:
- 手术后低血压是一种普遍但被低估的并发症.
- 它与患者发病率,死亡率和医疗保健资源利用率的增加有关.
- 显著的临床,技术和人文挑战使其管理复杂化.
研究的目的:
- 提高术后低血压的可见性,将其作为一个关键的健康问题.
- 确定临床影响和相关的技术挑战,以管理这种情况.
- 考虑临床技术,人文和经济因素,以优化管理.
主要方法:
- 本文汇总了现有的知识和专家观点.
- 它的重点是确定术后低血压的范围和影响.
- 分析包括临床,技术,人文和经济方面的维度.
主要成果:
- 术后低血压在医疗保健环境中存在重大风险和挑战.
- 优化其管理需要一个多方面的方法.
- 解决这种可修改的风险因素可以改善患者的治疗结果和资源配置.
结论:
- 提高对术后低血压的认识和理解至关重要.
- 需要技术进步和综合管理策略.
- 考虑所有方面的整体方法对于有效的控制至关重要.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Cardiomyopathy VII: Pre and Post Operative Nursing Management
16
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16
Cardiac Catheterization IV: Nursing Management
54
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
54
Cardiac Catheterization I: Pre-Procedure Overview
56
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
56
Pre-Procedural Guidelines for Assessing Blood Pressure
595
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
595


