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经过多胞体脱皮手术的患者的术后高级血液动力学监测:一项观察性试点研究
Charlotte Middel1, Matthias Stetzuhn1, Nadine Sander1
1Department of Anaesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité, Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Intensive care medicine experimental
|September 8, 2023
概括
高风险手术患者的电心计监测显示了显著的外科手术期间血液动力学变化. 患有术后并发症的患者表现出心脏功能标志物的改变,这表明EC可以识别有风险的个体.
科学领域:
- 心血管生理学心血管生理学
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 高风险手术患者经历了血液动力学不稳定性和增加的发病率.
- 现有的数据主要集中在手术期间内.
- 这项研究使用电心力测量 (EC) 调查外科手术期间的血液动力学.
研究的目的:
- 在高风险的手术患者中,在整个外科手术期间对血液动力学变化的特征.
- 评估电心计对监测这些变化的有用性.
- 识别与术后并发症相关的血液动力学标志物.
主要方法:
- 前性,观察性,单心的试点研究.
- 30名患者接受了为卵巢癌而进行的多胞体细胞削减手术.
- 在手术前,手术期间和手术后进行的电心计 (EC) 测量.
- 根据严重的术后并发症 (Clavien-Dindo分类) 进行分组的患者.
主要成果:
- 从基线到手术期间观察到的心率 (HR),中风体积指数 (SVI),心脏指数 (CI) 和收缩率指数的显著下降.
- 在整个外科手术期间,HR和CI保持不变.
- 与无并发症患者相比,患有术后并发症的患者的收缩率和SVI指数较低.
- 胸部液体体积在外科手术期间增加,并没有通过放电恢复正常.
结论:
- 在高风险的外科手术患者中发生显著的外科手术期间血液动力学变化.
- 通过EC监测,可以识别出血动力学变化和并发症风险增加的患者.
- 心脏功能的标志物,特别是较低的收缩率和SVI指数,区分了患有术后并发症的患者.
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