监测静脉循环:新的技术和应用
August A Longino1, Katharine C Martin2, Ivor S Douglas3
1Department of Internal Medicine, University of Colorado Hospital.
Current opinion in critical care
|May 1, 2024
概括
静脉压升高有助于患者的疾病. 静脉过量超声波 (VExUS) 评分提供了一种新的床边方法,使用多普勒超声波来评估静脉压力,在早期研究中显示出有希望.
科学领域:
- 关键护理医学 关键护理医学
- 心血管生理学心血管生理学
- 诊断性超声波的使用
背景情况:
- 静脉压升高是一个重要的,但往往被忽视的,导致患者发病的原因.
- 目前用于评估静脉压力的方法,如体检和右心导管 (RHC),在临床实践中存在局限性.
- 评估中枢静脉压力 (CVP) 对于管理严重病患者的流体状况和心功能至关重要.
研究的目的:
- 审查静脉压测量的临床意义.
- 讨论静脉压力评估的现有技术.
- 引入静脉过量超声波 (VExUS) 评分作为一种新的,非侵入性的床边方法.
主要方法:
- 审查有关静脉压测量技术的现有文献.
- 介绍VExUS评分,一种将下腔静脉 (IVC) 直径与肝,门,静脉多普勒超声评估相结合的方法.
- VExUS评分与RHC测量和临床结果的相关性.
主要成果:
- 维克苏斯评分与RHC测量有很强的相关性.
- 维克苏斯评分与心急性损伤,尿液反应和流体状况的改善有关.
- 目前对非心脏病患者群体的研究是有限的,异质的和不确定的.
结论:
- 维克苏斯评分 (VExUS Score) 显示,它是一个新的床边静脉压评估工具.
- 需要进一步的研究来验证VExUS评分在不同的患者群体和临床环境.
- 对静脉堵塞的多普勒超声波评估需要进一步调查临床实用性.
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