在外科手术期间的成年患者中使用液体治疗:叙述性审查
M J Colomina1, P Galán Menéndez2, J Ripollés-Melchor2
1Department of Anesthesia, Critical Care and Pain Clinic, Bellvitge University Hospital, University of Barcelona-Campus de la Salud, IDIBELL, Barcelona, Spain; Department of Anesthesia, Critical Care and Pain Clinic, Vall d'Hebron University Hospital, Barcelona, Spain; Anesthesia and Critical Care Department, Infanta Leonor University Hospital, Madrid, Spain.
Revista espanola de anestesiologia y reanimacion
|September 7, 2024
概括
静脉注射液体治疗在医院中很常见. 本综述考察了经手术期间液体的平衡解决方案,强调了有限的证据和个性化患者护理的需要.
科学领域:
- 麻醉学和重症监护医学
- 腎臟病學 (nephrology) 是一種醫學.
- 内部医学 内部医学
背景情况:
- 静脉注射液体是住院患者的基石干预,特别是在外科及重症监护机构.
- 当前的流体治疗实践往往缺乏可靠的证据来指导选择流体类型,剂量和施用速度.
研究的目的:
- 为了提供一个全面的平衡晶体溶液的平衡的概述,用于成年患者的外科手术期间的流体治疗.
- 审查流体管理策略中的新兴趋势和证据.
- 综合当前关于在手术内和重症监护机构中注射液体的科学证据.
主要方法:
- 这篇叙事综述综合了近年出版的高质量研究的证据.
- 证据被分为三个关键领域:手术期间的液体管理,重症患者的液体管理,以及平衡的晶体溶液的好处.
主要成果:
- 尽管最近取得了进展,但关于最佳流体类型,剂量和速率的科学证据仍然有限.
- 平衡的晶体溶液越来越多地被认为具有维持电解质平衡的潜在好处.
- 个性化流体治疗,考虑到患者特异性因素和手术背景,至关重要.
结论:
- 选择外科手术期间的流体治疗需要仔细考虑患者特定的因素,手术类型和预期的流体损失.
- 迫切需要更强有力的临床证据来指导液体管理实践.
- 加强医生在流体管理方面的培训对于优化患者治疗结果至关重要.
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