术前中心静脉氧和与高度侵入性胃肠道外科手术中的术后并发症之间的关系
Dai Miyazaki1, Toshiaki Shichinohe1, Yusuke Watanabe1
1Department of Gastroenterological Surgery II Hokkaido University Faculty of Medicine Sapporo Japan.
低的外科手术中心静脉氧和度 (ScvO2) 表明在侵入性胃肠道手术后出现重大并发症的风险更高. 持续的ScvO2监测可以帮助预防这些不良事件.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 关键护理医学 关键护理医学
背景情况:
- 对于胆道,胰腺和食道癌的高度侵入性手术具有高风险的术后并发症.
- 在这些程序期间,可以通过中央静脉导管监测中枢静脉氧和 (ScvO2).
研究的目的:
- 为了调查持续监测的外科手术期间ScvO2与重大术后并发症的发生之间的关联.
- 确定ScvO2作为高风险胃肠道手术中不良结果的潜在预测标志物.
主要方法:
- 对60名接受高度侵入性胃肠道手术的患者进行了回顾性分析,并进行了外科期间的ScvO2监测.
- 使用单变量和多变量分析来检查ScvO2水平和重大术后并发症 (Clavien-Dindo等级≥III) 之间的关系.
主要成果:
- 30名患者经历了严重的术后并发症.
- 75%的平均术后ScvO2被确定为预测并发症的切断值.
- 低平均术后ScvO2和显著的血液损失 (≥1000毫升) 是主要并发症的独立预测因素.
结论:
- 较低的术后ScvO值与重大术后并发症的风险增加显著相关.
- 持续的ScvO2监测可以作为一种有价值的工具,用于早期检测和预防高风险胃肠道手术的患者的术后并发症.
更多相关视频
14:28Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care
Published on: May 10, 2024
12:27Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
相关概念视频
Special considerations while measuring oxygen saturation
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Pulse Oximetry
Purpose
Average SpO2 values are greater than 95%. If the readings fall below 90%, it indicates that...
Pneumonia III: Complications and Assessment
