脑超声波在严重疾病的败血症患者:一个范围审查
Giada Cucciolini1, Irene Corda1, Francesco Forfori1
1Department of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.
Journal of clinical medicine
|November 27, 2024
概括
大脑超声波显示,通过检测改变的大脑输液,对监测败血症相关脑病变 (SAE) 有希望. 然而,目前的证据有限,缺乏指导治疗和预测结果的标准化.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 败血症相关脑病变 (SAE) 是一种常见的并发症,具有显著的死亡率和神经缺陷.
- 脑部监测对于治疗败血症患者至关重要,但需要使用非侵入性方法.
- 大脑超声波 (美国) 为评估大脑状态提供了一种非侵入性方法.
研究的目的:
- 审查关于败血症中脑 perfusion 改变的文献.
- 评估大脑US在指导复苏工作中的作用.
- 为了评估大脑US对败血症神经学结果的预测价值.
主要方法:
- 对三个数据库进行了范围审查.
- 包括的研究集中在ICU的成人败血症或败血性休克患者身上.
- 搜索随机对照试验,临床试验,观察性研究和系统性审查.
主要成果:
- 包括34项研究,主要是观察性 (85%).
- 败血症中脑血流 (CBF) 的改变显示出不同的结果 (增加,正常或减少).
- 大脑自调节 (CAR) 障碍很常见,特别是在败血症的早期,并且与糟糕的结果有关,尽管影响的清晰度缺乏.
结论:
- 大脑US可以检测到血症中大脑 perfusion 变化,这表明其潜在的实用性.
- 目前关于美国脑毒症的证据基础有限,缺乏标准化,需要进一步研究.
- 需要更强大的标准化研究来确定大脑US以指导复苏和预测SAE的结果.
相关概念视频
01:17Ultrasonography
4.3K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.3K
01:20Ultrasound I: Abdominal Ultrasonography
180
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
180