在非心脏手术后康复的低风险患者中,麻醉后护理单位的低血压:一项前性观察性研究
Moritz Flick1, Anneke Lohr1, Friederike Weidemann1
1Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
在非心脏手术后的低风险患者中,麻醉后护理单位 (PACU) 的低血压是罕见的. 持续监测显示,低血压的发作很少,短暂且轻微.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 心血管生理学心血管生理学
背景情况:
- 术内低血压是已知的器官损伤的危险因素.
- 低血压可能会持续到麻醉后护理单位 (PACU) 期间.
- 由于间歇性监测,PACU低血压的发病率和特征尚不清楚.
研究的目的:
- 确定PACU恢复期间低风险患者中低血压的发生率,持续时间和严重程度.
- 在非心脏手术后使用持续监测来调查PACU低血压.
主要方法:
- 一项观察性研究,涉及100名接受非心脏手术的低风险患者.
- 使用手指手 (ClearSight系统) 进行持续的,盲目的,非侵入性的动脉压监测.
- PACU 低血压定义为平均动脉压 (MAP) < 65 mmHg.
主要成果:
- 只有3%的患者经历了至少1分钟的PACU低血压.
- 低血压发作是短暂的 (累计分钟:2-4),严重程度适度 (时间加权平均MAP<65 mmHg:0.2-0.5 mmHg).
- 患者接受了平均200毫升的晶化物;没有使用合物或血管压缩剂.
结论:
- 在非心脏手术后的低风险患者中,PACU低血压不常见.
- 当低血压发生时,通常是短暂和轻微的.
- 持续监测提供了关于PACU血液动力学稳定的宝贵数据.
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