连续脏置换疗法期间相对血量监测:一项前性观察性研究
Akinori Maeda1,2, Ian Baldwin3, Sofia Spano3
1Department of Intensive Care, Austin Hospital, Melbourne, Victoria, Australia, akinori.maeda@austin.org.au.
Blood purification
|August 13, 2024
概括
在持续置换疗法 (CRRT) 期间,可以持续监测相对血量 (RBV). 降低RBV表明潜在的体积耗尽,特别是在更高的净超率下,有助于临床管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 密集护理医学 密集护理医学
- 生物医学工程 生物医学工程
背景情况:
- 在CRRT期间的血红素监测估计了相对血液体积 (RBV).
- 通过对RBV进行监测,可以及早发现血管内体积枯竭.
- 在CRRT期间调查RBV监测的可行性和流行病学.
研究的目的:
- 评估在CRRT患者中扩展RBV监测的可行性.
- 检查CRRT期间RBV变化的流行病学.
- 确定RBV变化与净超率 (NUF) 之间的关联.
主要方法:
- 持续的非侵入性光学传感器监测血红素和RBV.
- 在CRRT的成年ICU患者中对时间RBV变化的分析.
- RBV变化与低,中等和高NUF率的相关性.
主要成果:
- 在36名患者中获得了超过1000个CRRT小时和6万次测量.
- 69%的患者显示RBV中位数下降,中位数峰值变化为-9.3%.
- 与低/中等利率 (p < 0.001) 相比,高NUF利率的RBV下降幅度明显更大.
结论:
- 在CRRT期间持续监测RBV是可行的.
- 在CRRT期间,RBV显著下降,特别是在高NUF率的情况下.
- 通过RBV监控,可以优化NUF管理,防止数量耗尽.
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