血管压力器输液期间的低血压发生在可预测的集群中:多中心分析.
Daisuke Horiguchi1,2, Sungtae Shin3, Jeremy A Pepino1
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA.
Journal of intensive care medicine
|January 29, 2024
概括
大多数ICU的低血压发生在可预测的集群中. 分析平均动脉压 (MAP) 趋势可以帮助临床医生预测和管理这些低血压事件,改善患者的治疗结果.
科学领域:
- 临界护理医学 临界护理医学
- 心血管生理学心血管生理学
- 医疗信息学 医疗信息学
背景情况:
- 低血压 (低平均动脉压) 与ICU中的不良结果有关.
- 有效管理平均动脉压 (MAP) 仍然具有挑战性.
- 了解低血压模式对于改善患者护理至关重要.
研究的目的:
- 在重症监护室 (ICU) 描述低血压的发生情况.
- 用平均动脉压 (MAP) 趋势来评估低血压的可预测性.
- 为改善重症患者MAP管理的策略提供信息.
主要方法:
- 在三个医院接受血管压缩剂的成年ICU患者的回顾性分析.
- 定义了"低血压集群" (累计低血压超过60分钟) 和"持续低血压" (连续).
- 利用MAP趋势分析,根据先前的数据预测未来的低血压.
主要成果:
- 大多数低血压事件发生在定义的"低血压集群"内.
- 在持续低血压发生之前,MAP趋势分析成功预测了大多数"低血压集群" (81.2%-93.6%的灵敏度).
- 低血压预测的积极预测值在51.4%至72.9%之间.
结论:
- 在ICU中的低血压经常表现为时间.
- 这些低血压集群通常可以通过推断平均动脉压趋势来预测.
- 对MAP趋势的预测分析为主动的低血压管理提供了潜力.
更多相关视频
相关概念视频
Blood Pressure Imbalances and Circulatory Shock
778
Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
778
Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K
Measurement of Blood Pressure
931
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
931
One-Compartment Model: IV Infusion
198
Intravenous (IV) infusion is often utilized when continuous and controlled drug delivery is necessary, such as during surgery or in the treatment of chronic diseases. This method offers numerous advantages, including immediate drug action, precise control over dosage, and bypassing the first-pass metabolism.
The one-compartment model for IV infusion uses mathematical equations to describe the rate of change in drug quantity in the body. At steady-state or infusion equilibrium, the drug input...
The one-compartment model for IV infusion uses mathematical equations to describe the rate of change in drug quantity in the body. At steady-state or infusion equilibrium, the drug input...
198
Disorders of the Autonomic Nervous System
642
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
642
Desensitization and Tachyphylaxis
1.7K
Tachyphylaxis is described as a rapid decrease in response to a drug after repeated or continuous administration of the same drug dose. It is a phenomenon where the body becomes less responsive to a particular substance or intervention over time, requiring higher doses or stronger interventions to achieve the same effect. It results from adaptive changes in the body's receptors, signaling pathways, or physiological processes that occur in response to prolonged exposure to a stimulus.
1.7K


