重症监护中的脏置换和体外疗法:当前和未来的方向
S F Lane1, E Harvey-Jones2, O Ward3
1MBBS BSc MRCP(UK) (2018) FRCA FFICM Registrar in Intensive Care Medicine & Anaesthesia, Imperial College Healthcare NHS Trust.
Acute medicine
|September 25, 2023
概括
本综述涵盖了重症监护的体外疗法,重点是急性损伤的持续置换疗法 (CRRT). 它详细介绍了CRRT的原理,指示,方法,抗凝剂和并发症,以及其他血液净化技术.
科学领域:
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 肺部病理学 肺部病理学
- 重症监护室 (ICU) 的治疗方法
背景情况:
- 身体外疗法在重症监护机构中至关重要.
- 持续置换疗法 (CRRT) 经常用于急性损伤 (AKI) 在危急病患者.
- 急症护理医生需要对CRRT原则有很强的理解,以便有效地管理患者.
研究的目的:
- 审查重症患者中CRRT的指示,方法和管理原则.
- 讨论抗凝血策略,启动和停止标准以及CRRT的潜在并发症.
- 探索其他体外疗法,包括治疗性血交换,败血症的血液净化和呼吸衰竭的二氧化碳去除.
主要方法:
- 在重症监护中对体外疗法的文献综述.
- 专注于持续置换疗法 (CRRT) 的原则和应用.
- 讨论治疗性血交换和新型血液净化技术.
主要成果:
- 持续置换疗法 (CRRT) 是急性损伤 (AKI) 在重症监护中的关键体外疗法.
- 该审查概述了CRRT的基本方面,包括指示,方法,抗凝剂和管理.
- 还讨论了新兴的败血症和呼吸衰竭的体外疗法.
结论:
- 对于急性护理医生来说,全面了解CRRT和其他体外疗法至关重要.
- 本综述为在ICU中需要高级体外支持的患者的管理提供了基础.
- 对新型血液净化技术的进一步研究有望为重症监护提供希望.
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