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Murine Kidney Transplant Technique
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在患有急性损伤的患者的连续置换疗法期间使用血温器的影响
Akshith Doddi1, Aisha Abbasi1, Ambika Ramesh1
1Department of Medicine, West Virginia University, Morgantown, WV, USA.
Journal of intensive care medicine
|October 27, 2023
概括
在急性损伤 (AKI) 的连续置换疗法 (CKRT) 中使用血热器并没有显著减少低血压发作. 然而,较高的血温与较少的低血压事件有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 关键护理医学 关键护理医学
- 心血管生理学心血管生理学
背景情况:
- 急性损伤 (AKI) 是重症患者常见的并发症.
- 连续置换疗法 (CKRT) 经常用于管理AKI.
- 低血压在CKRT期间是一个重大问题,可能导致不良结果.
研究的目的:
- 在接受CKRT的AKI患者中调查使用血热器和低血压发作之间的关联.
- 为了确定在CKRT期间预热血液是否会影响低血压的发生率.
主要方法:
- 从2012年至2021年接受CKRT的669名AKI患者的回顾性队列研究.
- 低血压以平均动脉压,静脉压或血管压力剂的要求来定义.
- 使用波桑回归和概括估计方程进行统计分析.
主要成果:
- 在CKRT的第一天使用血热器并没有与低血压事件的发病率降低相关 (IRR1.06,95%CI:0.98-1.13).
- 在CKRT期间较高的血温显示出较少的低血压发作趋势 (每10°C增加:0.94,95%CI:0.9-0.99,P=.007).
结论:
- 在CKRT期间的血液回暖没有发现与低血压发作的减少有关.
- 虽然常规使用血热器没有显示任何益处,但在CKRT的AKI患者中,更高的血温可能有助于预防低血压.
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