在心血管重症监护病房的侵入性机械通风过程中,通过垂卧姿势的顶部-下肋骨协议进行心声图
César Del Castillo1,2, Fernando Verdugo3, Franco Appiani4,5
1Cardiovascular department, Hospital DIPRECA, Santiago, Chile. cesardelcastillogor@gmail.com.
Cardiovascular ultrasound
|June 10, 2024
概括
在侵袭性机械通风 (IMV) 和倾斜定位的患者中,胸前回声图是可行的. 这种心声回声图协议允许血液动力学监测和评估重症患者的心脏功能.
科学领域:
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 需要侵入性机械通风 (IMV) 的患者往往需要倾斜的位置来改善氧化.
- 由于定位限制,评估这些患者的心脏功能可能具有挑战性.
研究的目的:
- 为了评估在患者进行IMV在倾斜的位置使用一个角-下腰协议进行跨胸腔回声心电图的可行性.
- 评估本协议对血液动力学监测的有用性.
主要方法:
- 一项前性研究包括了在IMV期间需要倾斜定位的成年患者.
- 一个修改后的协议,用枕头来提升左半胸部被用来优化声学窗户.
- 图像是由重症监护心脏病专家获得的,躺卧组作为比较.
主要成果:
- 在43名易患病的患者中,42名成功完成了角-尾心电图方案.
- 全球双心脏功能在97.7%的易受感染的患者中进行了评估.
- 虽然大多数参数与仰卧组相比没有显著差异,但左心室顶两室视图和细分功能评估在倾斜位置显著减少.
结论:
- 在IMV和倾斜位置的患者中,使用顶端-下肋骨协议进行的跨胸腔回声心脏成像是可行的.
- 这种技术对重症患者的血液动力学监测有价值.
- 可能需要进一步优化,以充分评估这种位置的左心室功能.
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