连续或间歇性 非侵入性血压监测 预防手术后器官衰竭 (niMON):对开放标签,多中心随机试验的研究协议
Alberto Noto1, Athanasios Chalkias2,3, Fabiana Madotto4
1Division of Anesthesia and Intensive Care, Department of Human Pathology of the Adult and Evolutive Age "Gaetano Barresi", Policlinico "G. Martino", University of Messina, Messina, Italy. alberto.noto@unime.it.
Journal of anesthesia, analgesia and critical care
|February 6, 2024
概括
niMON试验调查了手术期间持续的非侵入性血压 (C-NiBP) 监测是否与间歇性监测相比改善了患者的结果. 这项研究将确定最佳的手术内血压监测策略.
科学领域:
- 麻醉学 麻醉学
- 心血管医学 心血管医学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 血压监测在术后护理中至关重要.
- 持续监测有助于早期检测低血压,但其对患者结果的影响尚不清楚.
- 意大利麻醉,止痛,复苏和重症监护学会 (SIAARTI) 建议持续监测,但证据有限.
研究的目的:
- 为了评估持续的非侵入性血压 (C-NiBP) 监测与间歇性非侵入性血压 (I-NiBP) 监测在手术期间的影响.
- 评估C-NiBP对术后心肌和损伤的影响.
- 为最佳的手术内血压监测策略提供证据.
主要方法:
- niMON试验是一个国际性的,多中心的,开放的,随机的临床试验.
- 1265名患者将1:1随机分配到C-NiBP或I-NiBP监测中.
- 主要结局:术后心肌损伤;次要结局:AKI,死亡率和30/90天事件.
主要成果:
- 本节不适用,因为该研究正在进行中,结果尚未提供.
结论:
- niMON试验旨在提供关于C-NiBP监测临床功效的关键数据.
- 这些发现将为临床实践提供有关手术期间血压监测选择的信息.
- 生成的证据将指导选择最有效的监测策略,以提高患者安全.
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