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神经外科的定向流体疗法:离黄金三英尺远吗?

Amol T Kothekar¹, Rakesh Mohanty², Anand Vinaykumar Joshi³

¹Department of Anaesthesia, Critical Care and Pain, ACTREC Tata Memorial Center, Homi Bhabha National Institute, Mumbai, Maharashtra, India.

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

|November 1, 2023

概括

在神经外科手术中,定向流体疗法可能并不总是有益的,可能会导致不良结果. 需要进一步的研究来确定它在这个关键患者群体中的真正价值.

科学领域:

神经外科神经外科
关键护理医学关键护理医学
流体管理流体管理

背景情况:

流体管理在神经外科手术中至关重要.
目标导向的流体治疗 (GDFT) 旨在优化流体状态.
在神经外科手术中GDFT的有效性仍有争议.

研究的目的:

评估GDFT在神经外科患者中的有效性.
为了确定GDFT是否比标准流体管理提供了显著的优势.
评估与GDFT在这个人群中相关的潜在风险和结果.

主要方法:

审查当前的文献和临床实践.
分析与流体管理策略相关的患者结果.
讨论在神经外科手术中指导流体治疗的生理原理.

主要成果:

在神经外科手术中支持GDFT的证据有限且不确.
在GDFT中存在液体过载或活化不足的可能性.
在某些神经外科情景中,标准流体管理可能同样有效.

结论:

在神经外科手术中GDFT的应用需要仔细考虑.
目前的证据并不强烈支持在所有神经外科病例中进行常规GDFT.
需要进一步进行高质量的研究,以澄清GDFT在神经外科手术中的作用.

关键词:

年长的老年人.心脏输出血压,心脏输出血压.目标导向疗法是指向目标的疗法.神经外科神经外科林格的乳酸酸是指的

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