密集护理和外科心血管设置中的低血压患者的血压管理
Yuki Kotani1, Jacopo D'Andria Ursoleo2, Carlotta Pia Murru2
1Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Department of Intensive Care Medicine, Kameda Medical Center, Kamogawa, Japan.
Journal of cardiothoracic and vascular anesthesia
|June 25, 2024
概括
维持足够的血压对于在重症监护中的器官输液至关重要. 本综述阐明了血压决定因素以及在重症监护和术后环境中最佳目标的证据.
科学领域:
- 身体生理学 身体生理学
- 关键护理医学 关键护理医学
- 麻醉学 麻醉学
背景情况:
- 血压是器官 perfusion 的一个关键的生理参数.
- 持续的血压监测是重症监护和术后环境中的标准.
- 目前的指南缺乏关于最佳血压目标的共识.
研究的目的:
- 为了审查血压的决定因素.
- 为了检查血压对器官 perfusion 的影响.
- 在重症监护和外科外科设置中合成血压目标的证据.
主要方法:
- 临床证据的文献审查.
- 综合来自重症监护和术后环境的数据.
主要成果:
- 关于血压决定因素的讨论.
- 分析血压对组织氧气输送的影响.
- 基于证据的血压管理建议.
结论:
- 了解血压的决定因素是临床实践的关键.
- 综合证据为管理血压目标提供了指导.
- 优化血压对于重症监护和手术中的患者结果至关重要.
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