静脉过量超声波 (VExUS分级,以评估非心脏手术的外科手术期间流体状况:一个前性的观察试点研究
Justin C Magin1, Jacob R Wrobel1, Xinming An2
1University of North Carolina School of Medicine Chapel Hill, NC USA.
POCUS journal
|December 15, 2023
概括
使用VExUS分级系统进行外科手术期间超声波评估,可用于评估非心脏手术患者的液体状况. 静脉堵塞在术后是常见的,尽管在本研究中与并发症没有显著联系.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 放射学 放射学是一门学科.
背景情况:
- 术后流体管理对于手术结果至关重要.
- VExUS分级系统提供了一个标准化的护理点超声波 (POCUS) 方法来评估音量状态.
- 在术前环境中验证VExUS可以指导流体管理策略.
研究的目的:
- 评估在非心脏外科手术中获得VExUS分级窗口的可行性和成功率.
- 通过使用VExUS. 确定外科手术期间静脉堵塞的发生率.
- 探索VExUS分级和30天术后并发症之间的关联.
主要方法:
- 一项观察性研究,涉及接受非心脏手术的非重症患者成年人.
- 在手术前,在PACU中,以及手术后24小时进行了VExUS分级的点诊疗超声波扫描.
- 追溯捕获30天的术后并发症进行分析.
主要成果:
- 在所有时间点中,VExUS扫描成功完成率为91%.
- 在PACU中44%的患者和在术后24小时的49%的患者观察到静脉堵塞 (VExUS级别1或2).
- 在VExUS分级和30天所有原因并发症或急性损伤 (AKI) 之间没有发现统计学上显著的关联.
结论:
- 术后VExUS评分是各种非心脏手术环境中可行的工具.
- 静脉堵塞很普遍,并在非ICU人群中术后增加.
- 需要进行更大规模的研究来证实VExUS分级和术后并发症之间的关系.
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