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晶体在术后环境中的作用:从基础到临床应用和增强的恢复协议
Juan V Lorente1,2, Robert G Hahn3, José L Jover2,4
1Department of Anesthesiology and Critical Care, Juan Ramón Jiménez University Hospital, 21005 Huelva, Spain.
Journal of clinical medicine
|September 28, 2023
概括
术后流体管理是手术恢复的关键. 本综述强调了基于证据的原则,用于处方流体疗法,重点是结晶体而不是合成合体,以获得更好的患者结果.
科学领域:
- 麻醉学 麻醉学
- 手术重症监护手术重症监护
- 流体生理学 流体生理学
背景情况:
- 术后流体管理对于重大手术至关重要,影响患者的康复率和并发症率.
- 增强的恢复协议强调有效的流体管理,特别是在高风险的手术患者.
- 输注液体的类型和体积显著影响手术结果,最近人们对合成合物安全性感到担忧.
研究的目的:
- 提供基于证据的临床原则,用于外科手术期间的液体治疗处方.
- 将生理和生化理解与增强的恢复计划相结合.
- 为了指导流体治疗的选择,考虑到转向晶化物.
主要方法:
- 关于外科手术期间流体管理的科学文献的综述.
- 对控制流体平衡的生理和生化原理的分析.
- 评估最近的临床试验和改善康复的建议.
主要成果:
- 液体治疗处方需要了解外科手术期间的生理变化.
- 最近的试验质疑合成合体的安全性.
- 结晶体可能在现代外科手术周流体管理中发挥关键作用.
结论:
- 根据患者生理学量身定制流体治疗是必不可少的.
- 将基于证据的原则与增强的康复计划相结合,可以优化患者的护理.
- 转向水晶体可能会改善手术结果和患者安全.
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