在急诊室进行侵入性动脉血压测量 - - 什么时候,如果有的话,是指定的吗?
Gurpreet Kaur1, Thayer Morton1, Marjon Khairy1
1Department of Emergency Medicine, Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Henry Ford Health, Detroit, USA.
侵袭性血压监测对于患有极端血压值的重病急诊室患者至关重要. 当非侵入性方法不足时,它提供及时,准确的读数,有助于早期检测器官损伤.
科学领域:
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
- 心血管生理学心血管生理学
背景情况:
- 在急诊室经常观察到极端血压 (BP).
- 在某些重症监护场景中,非侵入性血压监测可能存在重大限制.
研究的目的:
- 审查在急诊室内侵入性血压监测的指示.
- 为了突出其在不分化的冲击和高血压紧急情况中的实用性.
主要方法:
- 关于侵入性和非侵入性血压监测技术的当前文献的综述.
- 分析需要先进的血液动力学监测的临床情景.
主要成果:
- 非侵入性方法通常是充足的,但有缺点,如测量延迟.
- 侵入性血压 (IBP) 监测为危急患者提供准确,及时的数据.
- 通过动脉通道的IBP是临界疾病和末端器官损伤风险的标准.
结论:
- 个别患者的评估是确定需要侵入性血压监测的关键.
- 患有极端血压值的患者需要更密切的监测,通常需要侵入性方法.
更多相关视频
06:51Development of an Algorithm to Perform a Comprehensive Study of Autonomic Dysreflexia in Animals with High Spinal Cord Injury Using a Telemetry Device
Published on: July 29, 2016
08:12Invasive Hemodynamic Monitoring of Aortic and Pulmonary Artery Hemodynamics in a Large Animal Model of ARDS
Published on: November 26, 2018
相关概念视频
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Pre-Procedural Guidelines for Assessing Blood Pressure
Equipments Used To Measure Blood Pressure
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Assessment of blood pressure in brachial artery(two-step method)
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
