开发和实施一个多中心注册系统,用于以复苏为重点的食道外心电图
Felipe Teran1, Clark G Owyang2, Trenton C Wray3
1Department of Emergency Medicine, Weill Cornell Medicine, New York, NY.
Annals of emergency medicine
|October 16, 2024
概括
聚焦式输食管心声学 (TEE) 对紧急和重症监护机构的重症患者是安全且具有临床影响的. 这种照顾点超声波工具显著改变了对罕见并发症的休克和心脏骤停病例的管理.
科学领域:
- 临界护理医学 临界护理医学
- 护理中心超声波检查
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 聚焦式输食管回声心电图 (TEE) 越来越多地用于重症监护.
- 它在各种紧急和重症监护室 (ICU) 设置中的临床影响和安全性需要彻底评估.
研究的目的:
- 评估重症患者集中TEE的临床有效性,安全性和结果.
- 评估TEE对急诊室和ICU患者管理的影响.
主要方法:
- 一个潜在的,多中心的,成年重症患者接受集中TEE的观察注册.
- 包括标准包括医院外心脏骤停 (OHCA),医院内心脏骤停,不分化休克,血液动力学监测和程序指导.
- 收集的数据包括患者人口统计,手术细节,实验室值,干预,结果和TEE图像.
主要成果:
- 分析了来自28家医院的916名患者的1,045项集中TEE研究.
- 在85%的无差异性休克病例,71%的住院心脏骤停病例和62%的OHCA病例中发生了管理变化.
- 没有报告食道穿孔或口腔损伤;其他并发症不常见.
结论:
- 聚焦TEE是在各种重症监护场景中是一种安全且具有临床影响力的工具.
- 建立的注册表有助于进一步研究TEE在紧急和重症监护中的作用.
- 未来的研究将侧重于以结果为导向的研究和对TEE应用的知识翻译.
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