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在没有急性出血的体积复苏患者中,系统和皮肤组织对输血的反应之间的不一致性
Elaine Cavalcante Dos Santos1, Jacques Creteur1, Fabio Silvio Taccone1
1Department of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Clinical hemorheology and microcirculation
|March 29, 2024
概括
在重症患者中,红细胞输血 (RBCT) 后,皮肤血流 (SBF) 没有显著变化. 然而,一些患者经历了增加的SBF,与其他系统因素没有明确的相关性.
科学领域:
- 关键护理医学 关键护理医学
- 血液动力学 血液动力学
- 身体生理学 身体生理学
背景情况:
- 在重症患者中,评估组织输液至关重要.
- 皮肤血流 (SBF) 是 perfusion 的潜在的非侵入性标记物.
- 红细胞输血 (RBCT) 是重症监护中常见的一种干预措施.
研究的目的:
- 为了研究RBCT对非出血重症患者复苏后SBF的影响.
- 为了确定SBF变化是否与RBCT后的系统变量相关.
主要方法:
- 在重症患者中监测SBF.
- 在初始液体复苏后给非出血患者进行RBCT.
- 分析SBF变化及其与全身血液动力学变量的相关性.
主要成果:
- 在研究的队列中,在RBCT后,全球SBF保持不变.
- 在RBCT后37.5%的患者中观察到SBF的显著增加.
- 在相对SBF变化和系统变量之间没有发现显著的相关性.
结论:
- 在非出血,复苏的重症患者中,RBCT不会在全球范围内改变SBF.
- 个性化SBF对RBCT的反应存在,但缺乏明确的系统相关性.
- 在这种人群中,SBF监测可能需要进一步调查其在指导RBCT中的实用性.
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