危急病患者的胃肠道超声波:叙述性综述和方案建议
Vladislav Mihnovits1,2, Annika Reintam Blaser1,3, Thomas Gualdi4
1Department of Anesthesiology and Intensive Care, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
在重症患者中,胃肠道功能障碍很难被检测出来. 消化道的超声波提供了一个潜在的解决方案,提出了一个结构化的协议,以帮助诊断和管理.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 重症患者经常出现胃肠功能障碍,由于不特定的临床症状和缺乏经过验证的生物标志物,因此难以诊断.
- 消化道超声波为在重症监护室 (ICU) 患者中识别胃肠功能障碍提供了一个有前途的工具.
研究的目的:
- 审查关于危急病患者胃肠道超声波方案的现有证据.
- 提出一种结构化的方案,用于在ICU环境中使用超声波评估胃肠道.
主要方法:
- 对四种已建立的胃肠道超声协议 (GIUST,AGIS,TGIUSP,Lai协议) 进行了叙述性审查.
- 该评论讨论了超声波在重症患者中的潜在局限性,并探索了未来的应用.
主要成果:
- 现有方案已经显示出与胃肠道功能衰竭,食不耐受和死亡率的临床得分相关.
- 超声波可以识别诸如肥胖和内气体之类的陷,并有潜力监测营养反应和检测中肠缺血.
结论:
- 一个结构化的胃肠道超声波方案可以改善功能障碍的识别,指导营养支持,并帮助诊断并发症.
- 需要进一步的研究来证实结构化超声波方案在重症患者中的好处.
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