平面技术与标准心声谱技术的比较 儿科心脏周周测试指南
Stephen T Clark1, Jeffrey A Alten2, Santiago Borasino3
1Division of Pediatric Cardiology, University of Alabama at Birmingham, Birmingham, Alabama, United States.
Journal of pediatric intensive care
|April 4, 2024
概括
对于儿科心脏缩术的PLANE技术是安全有效的,特别是对于小孩和高风险儿童. 这种方法,使用长轴在平面实时心声学,实现了100%的成功率与最小的并发症.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 关键护理医学 关键护理医学
- 医疗成像医学成像
背景情况:
- 穿皮心膜切割是一种高风险的手术,特别是在儿科患者身上.
- 现有的心声回声学 (ECHO) 指导方法在小孩或重症儿童中存在挑战.
研究的目的:
- 评估PLANE (使用长轴在平面内实时回声心脏成像的心脏成像) 技术用于儿科心脏成像的安全性和有效性.
- 将PLANE技术的结果与标准ECHO指导进行比较.
主要方法:
- 78个儿科心周切割手术的回顾性图表审查 (2013年3月至2021年2月).
- 52个程序使用了PLANE技术;26个程序使用了标准ECHO指导.
- 收集关于患者人口统计,风险因素,手术成功和并发症的数据.
主要成果:
- 100%的技术成功率,在所有程序中只有一个轻微的并发症.
- PLANE技术与年轻的 (1.4岁与8.4岁) 和较小的 (11.1kg与31.8kg) 患者有显著的关联.
- 飞机技术主要用于高风险患者 (术后<7天,ECMO或体重<5公斤).
结论:
- 飞机技术是一种安全和有效的方法,用于儿科心脏造,特别是在小和高风险人群.
- 它与其他超声波指导程序的技术相似性可能有助于重症监护人员采用.
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