暂时机械循环支持中的血管的诊断和管理:叙述性审查
Jamel Ortoleva1, Adam A Dalia2, Dominic V Pisano1
1Department of Anesthesiology, Boston Medical Center, Boston, MA.
Journal of cardiothoracic and vascular anesthesia
|March 15, 2024
概括
血管,或阻断性血管扩张性休克,在机械循环支持 (MCS) 的患者中提出了独特的挑战. 本综述指导诊断和管理,重点关注体外膜氧化和其他设备.
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
- 医疗器械技术 医疗器械技术
背景情况:
- 阻断性血管扩张性休克 (血管) 是一种复杂的疾病,常见于重症监护机构.
- 对于需要机械循环支持 (MCS) 的患者,对血管的现有定义的应用具有挑战性.
- 随着临时MCS的使用日益增加,需要对这种特定患者群体的血管进行专注的检查.
研究的目的:
- 审查和综合当前关于诊断和管理临时MCS患者血管的文献.
- 为照顾这些复杂患者的临床医生提供实际指导.
- 突出特别考虑的患者体外膜氧化 (ECMO) 和心室辅助器件 (VADs).
主要方法:
- 现有文献的叙述性审查.
- 在MCS的背景下对血管的诊断和管理策略的调查.
- 专注于非catecholamine治疗和救援剂.
主要成果:
- 在MCS患者中诊断血管需要整合来自多个来源的数据.
- 由于评估心脏输出,流体状态和设备相互作用的挑战,管理变得复杂.
- 某些治疗方法的有效性和安全性,如救生剂,需要在MCS患者中仔细考虑.
结论:
- 临时MCS患者的血管是一个独特的临床实体,需要量身定制的诊断和治疗方法.
- 仔细监测和多学科方法对于优化结果至关重要.
- 需要进一步的研究来澄清最佳的管理策略和新疗法的作用在这个人群中.
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