在一般重症监护中对心脏性休克进行诊断和管理:一项全国性的调查
Costanza N Colombo1,2, Guido Tavazzi3,4, Michele Zanetti5
1University of Pavia, Pavia, Italy - cnj.colombo@gmail.com.
Minerva anestesiologica
|March 29, 2024
概括
意大利的重症监护病房缺乏心脏性休克管理的标准化. 实施冲击分类和更新的治疗方案可以改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 密集护理医学 密集护理医学
- 关键的护理关键的护理
背景情况:
- 心脏性休克的流行病学已经发展,与急性不补偿性心力衰竭相关的患病率增加.
- 目前的治疗策略需要根据潜在的病理生理学进行更新.
- 缺乏关于一般重症监护病房的诊断和治疗方法的数据.
研究的目的:
- 调查意大利一般重症监护病房中心脏性休克的当前诊断和治疗策略.
- 确定实践中的变化和标准化的潜在领域.
主要方法:
- 一项由27个问题组成的调查被分发给意大利重症监护医疗干预评估小组 (GiViTi).
- 响应被分析并根据医院级别 (一级,二级和三级中心) 分类.
主要成果:
- 69个综合重症监护病房参加了这次活动.
- 冲击队只在13%的机构中存在,心血管血管血管学会和干预的冲击分类被18.8%使用.
- 虽然94.2%的人使用心脏输出监测,但第一线治疗方法各不相同,其中诺拉上腺素是最常见的血管压缩剂,而多布他胺是最常见的异能药物. 机械循环支持的使用包括大动脉内气球,Impella和VA-ECMO.
结论:
- 意大利一般重症监护病房中缺乏标准化的心脏性休克管理方法.
- 标准化应用冲击严重程度分层和基于证据的治疗包对于改善患者的治疗结果至关重要.
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