心力衰竭患者高压氧气治疗的安全性:一项回顾性队列研究
Simone Schiavo1,2,3, Connor T A Brenna1, Lisa Albertini4
1Department of Anesthesiology & Pain Medicine, University of Toronto, Toronto, ON, Canada.
高压氧气疗法 (HBOT) 对于心力衰竭 (HF) 患者通常是安全的,包括那些心力衰竭 (HFpEF) 患者. 仔细监测和优化HF管理是安全的HBOT在这些人中管理的关键.
科学领域:
- 心脏病学 心脏病学
- 高压医学的高压医学.
- 肺部医学 肺部医学
背景情况:
- 高压氧气疗法 (HBOT) 可能会导致血液动力学变化,导致左心室喷射率 (LVEF) 减少的患者有禁忌.
- 关于心力衰竭 (HF) 患者的HBOT安全性存在有限的数据,特别是那些保持LVEF的患者.
- 这项研究回顾性地分析了先前存在HF诊断的患者的HBOT并发症.
研究的目的:
- 评估选择性高压氧气疗法 (HBOT) 期间急性心力衰竭 (HF) 并发症的安全性和发生率.
- 分析不同类型的HF患者的HBOT结局,包括保留喷射分数 (HFpEF) 的HF.
主要方法:
- 对接受选择性HBOT的HF (HFpEF,HFmEF,HFrEF) 患者的回顾性图表审查.
- 2018年6月至2020年12月期间从两个高压中心收集的数据.
- 对HBOT疗程,患者特征和与HF相关的不良事件的分析.
主要成果:
- 23名HF患者完成了HBOT,其中大多数接受了超过10次治疗.
- 21名患者完成HBOT没有并发症;两个经历过HF恶化.
- 一名HFrEF患者患有肺,成功治愈;一名HFpEF患者患有肺,并停止了HBOT.
结论:
- 患有HF的患者,包括HFpEF,在HBOT期间可能会出现HF症状,需要密切监测.
- 优化HF治疗和液体限制可以在HF患者中安全地给予HBOT.
- 可选性HBOT可以安全地给精心挑选的HF患者,并进行适当的管理.
更多相关视频
00:07Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
14:28Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care
Published on: May 10, 2024
相关概念视频
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Acute Respiratory Failure-II
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Hypoxia
Types of Hypoxia
There are four primary types of hypoxia, each resulting from a different cause:
1. Anemic hypoxia: This type occurs due to insufficient oxygen delivery caused by a lack of red blood cells (RBCs) or RBCs with abnormal or...
Pathophysiology of Heart Failure
Acute Respiratory Failure-I
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
