在重症监护病房内进行心脏性休克的非心脏管理
Varinder K Randhawa1, Ran Lee2, Carlos L Alviar3
1Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Division of Cardiology, St Michael's Hospital, and Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
概括
心脏性休克 (CS) 管理需要解决器官衰竭,如呼吸道,脏和肝脏. 未来的研究应该专注于针对这些心脏外并发症的基于证据的实践.
科学领域:
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 肝病学 肝病学是一种肝病学.
- 肺部病理学 肺部病理学
背景情况:
- 心脏性休克 (CS) 是一种复杂的综合征,心脏输出低,导致末端器官的低输液.
- 器官脱氧,从损伤到衰竭,在CS中常见于各种病因.
- 脑神经系统的管理涉及复杂的心脏系统相互作用,影响患者的结果.
研究的目的:
- 审查CS患者呼吸,和肝功能衰竭的识别和管理.
- 确定CS护理途径中未得到满足的需求.
- 概述未来的研究重点,以管理心脏病外心脏病的后果.
主要方法:
- 文献综述侧重于心脏性休克中器官衰竭并发症.
- 对CS中呼吸道,和肝功能障碍的当前管理策略的分析.
- 讨论现有的证据缺口和未来的研究方向.
主要成果:
- 呼吸道,和肝功能衰竭是心脏性休克的重要并发症,发病率和类型各不相同.
- 目前在CS中对这些器官故障的管理方法需要进一步基于证据的改进.
- 迫切需要专门的护理团队,他们有能力管理CS的心脏外并发症.
结论:
- 为了有效地管理心脏性休克,需要对心脏外器官衰竭采取全面的方法.
- 解决CS护理途径中未满足的需求对于改善患者的治疗结果至关重要.
- 未来的研究应该优先发展基于证据的最佳实践,用于管理与CS相关的器官功能障碍.
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