经手术质量倡议 (POQI) 关于对右心室功能进行经手术评估的共识声明
Stephanie O Ibekwe1, Jean Deschamps2, Michael P W Grocott3
1Department of Anesthesiology, Baylor College of Medicine, Houston, TX, USA. stephanie.Ibekwe@bcm.edu.
Perioperative medicine (London, England)
|December 9, 2023
概括
一份新的共识声明提供了一个全面的工具,用于评估在外科手术期间右心室 (RV) 功能. 这种基于证据的方法旨在通过识别和管理RV功能障碍和故障风险来改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 右心室 (RV) 对于心脏功能至关重要.
- 术后右心室功能障碍 (RVD) 和衰竭 (RVF) 与不良结果有关.
- 对于外科手术期间的RV评估存在有限的指导方针.
研究的目的:
- 为了解决外科手术期间RV评估缺乏全面指导方针的问题.
- 开发基于证据的工具,用于查,分期和管理RVD/RVF.
- 通过更好的 RV 评估来改善患者的治疗结果.
主要方法:
- 由经营性质量倡议-IX (POQI-IX) 调查人员制定的共识声明.
- 包括麻醉学,心血管外科,内科,重症监护和高级实践护理的临床专家.
- 综合当前文献,社会建议和临床专业知识.
主要成果:
- 为外科手术期间的RV评估制定推和基于证据的工具.
- 工具包括体检,生物标记数据,成像和血液动力学评估.
- 介绍了一个全面的,直观的工具,用于RV功能评估.
结论:
- 该审查为评估外科手术期间的RV功能提供了一个全面的工具.
- 该工具旨在适用于所有外科手术期间护理阶段.
- 预计该工具的实施将改善患者的治疗结果.
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