在临界护理运输中推进剂量血管压缩器
Alissa M Bates1, Alyson M Esteves1, Kalle J Fjeld1
1Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Air medical journal
|September 18, 2024
概括
推进剂量血管压缩剂经常用于重症监护运输,以管理周周输入低血压. 然而,这项研究发现,它们往往不能充分应对冲击,因此需要进一步调查它们的作用.
科学领域:
- 关键护理医学 关键护理医学
- 紧急医疗 紧急医疗
- 药理学 药理学是指药理学的学科.
背景情况:
- 周管内低血压是重症监护的常见挑战.
- 推量血管压缩剂是经常用于管理这种低血压的干预措施.
- 了解重症监护运输当前的做法是必不可少的.
研究的目的:
- 描述当代在重症监护运输环境中输管过程中推进剂量血管压缩剂的使用.
- 为了评估推进剂量血管压缩剂的发生率.
- 评估后续需要持续输血压剂输注的需要.
主要方法:
- 对接受输管治疗的成年患者 (≥18岁) 的回顾性图表审查.
- 纳入标准:在周周化期内给予推量血管压缩剂.
- 收集的数据:注射的发生率,剂量数,连续输注的开始/增加.
主要成果:
- 在334名内49名 (14.7%) 输管患者接受了推进剂量的血管压缩剂.
- 大多数患者 (69.4%) 接受了多次剂量 (平均2.5).
- 持续性低血压发生在79.6%,其中30.6%需要开始或升级连续血管压缩剂输液.
结论:
- 推进剂量血管压缩剂虽然方便,但似乎不足以管理严重低血压的危急病患者与休克.
- 需要进一步的研究来确定周管内压缩器策略在重症监护运输中的最佳作用.
- 当前的实践表明,在推进剂量后,需要持续的血管压缩剂支持.
更多相关视频
06:33Intubation, Central Venous Catheter, and Arterial Line Placement in Swine for Translational Research in Abdominal Transplantation Surgery
Published on: February 3, 2023
1.3K
05:36Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine
Published on: January 30, 2020
7.6K
相关概念视频
Endotracheal Intubation II: Nursing Management
520
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
520
Acute Respiratory Failure-IV
131
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
131
Endotracheal Intubation I: Procedure
879
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
879
Adrenergic Agonists: Therapeutic Uses
749
Adrenergic agonists have diverse therapeutic uses across various medical conditions and emergencies.
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
749
Drug Delivery: Parenteral Route
442
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
442
