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在非心脏手术期间血液动力学监测:过去,现在和未来
Karim Kouz1,2, Robert Thiele3, Frederic Michard4
1Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, Hamburg, 20246, Germany.
Journal of clinical monitoring and computing
|April 30, 2024
概括
在手术期间对血液动力学变量 (如心率和心脏输出量) 的手术内监测对于维持器官 perfusion 在手术期间至关重要. 了解这些指标及其监测方法可以改善患者的治疗结果.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 生理学 生理学 生理学
背景情况:
- 手术期间血液动力学监测对于优化器官 perfusion 和氧气输送至关重要.
- 关键的血液动力学变量包括心率,动脉压,中心静脉压,脉冲压变化/中风量变化,中风量和心脏输出.
- 对血液动力学生理学和病理生理学的基本理解对于有效的手术内管理至关重要.
研究的目的:
- 审查手术内血动力学监测背后的病理生理学理由.
- 描述血液动力学监测技术的演变,当前的应用和未来的进步.
- 总结支持血液动力学管理的证据,以改善以患者为中心的结果.
主要方法:
- 血液动力学变量的病理生理学原理的审查.
- 对监控技术的历史分析.
- 描述当前的监控技术及其用途.
- 血液动力学管理策略的临床证据摘要.
主要成果:
- 血液动力学监测为手术期间的患者状态提供了关键的见解.
- 有各种各样的监控方法存在,随着技术的不断进步.
- 证据表明,优化的血液动力学管理对患者的结果产生了积极的影响.
结论:
- 在外科手术患者的护理中,手术内血动力学监测是不可或缺的.
- 需要不断的学习和适应新的监控技术.
- 有效的血液动力学管理与在手术环境中改善以患者为中心的结果有关.
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