心脏外科手术后酸盐异常患者的临床结果:回顾性队列研究
Dominik T Steck1, Nicki Mostofi1, Kei Togashi2
1From the Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, Washington.
Anesthesia and analgesia
|October 28, 2024
概括
心脏手术后的术后高酸血与更长的输出时间和增加的死亡率有关. 低酸血症在本研究中没有显示类似的关联.
科学领域:
- 心脏病学 心脏病学
- 密集护理医学 密集护理医学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 心脏手术后的酸盐水平异常没有得到充分的研究.
- 假设酸盐不平衡和长时间的气管外注之间存在联系.
研究的目的:
- 研究心脏手术患者酸盐异常的临床意义.
- 为了确定酸盐水平与气管输出输出时间之间的关联.
主要方法:
- 对2659名接受心脏外科手术,心肺旁路手术的患者进行了回顾性队列研究.
- 血清酸盐水平测量在ICU入院后6小时内.
- 分析了临床结果,包括到气管输出管的时间,住院时间和死亡率.
主要成果:
- 酸盐高度 (酸盐>4.5 mg/dL) 与空气管输出术的时间延长了26%,住院时间延长了37%,并增加了住院死亡率.
- 低酸盐血症 (酸盐<2.5 mg/dL) 与这些不良结果没有显著关联.
- 252名患者 (9.5%) 患有高酸血症,而502名患者 (18.9%) 患有低酸血症.
结论:
- 心脏手术后的术后高酸血与不良的临床结果有关.
- 需要进一步的研究来探索酸盐水平的校正是否会影响患者的结果.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Bone Disorders
3.4K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.4K
Heart Failure VI: Adjunct Therapies
1
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
1
Skeleton and Calcium Homeostasis
4.4K
Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
4.4K
Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Appendicitis-II: Diagnostic Studies and Management
66
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
66


