评估使用del Nido心脏症溶液进行心脏性停止后需要的管理
Carrie Whittaker Striker1, James A Reagor2
1Department of Cardiovascular Perfusion, Children's Wisconsin, Milwaukee, Wisconsin, USA.
The journal of extra-corporeal technology
|March 7, 2025
概括
在心脏外科手术中,可能不需要常规的术后的使用. 研究表明,接受德尔尼多心脏 (dNC) 的患者经常出现高血症,这表明目前的方案应该重新评估.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 麻醉学 麻醉学
背景情况:
- 德尔尼多心脏 (dNC) 解决方案是儿科和先天性心脏手术的标准.
- 在切换到dNC后,管理的历史实践,以防止低磁性血症的交叉后去除,在切换到dNC后仍然存在.
- 这种持续的做法引起了人们对潜在的超血症的担忧.
研究的目的:
- 为了评估外源性的必要性,在交叉取出后给予.
- 为了确定当前的补充方案是否会导致心肺绕道 (CPB) 经过dNC的患者的高血.
主要方法:
- 在2022年1月至2023年10月期间,对100名用十字进行CPB的患者进行了一项研究.
- 血清含量在两个时间点测量:心脏后 (图1) 和十字切除后 (图2).
- 进行了统计分析,将水平与正常范围 (1.6-2.6 mg/dL) 进行比较.
主要成果:
- 图1和图2样本均显示含量高于正常的下限 (1.6 mg/dL).
- 图1显示了2.6 mg/dL以上的统计学显著水平 (p < 0.001).
- 在抽象2中的100个样本中,有99个样本也显示高血,超过了正常范围.
结论:
- 当使用del Nido心脏 (dNC) 时,外源性的使用可能不需要.
- 目前与dNC一起补充的协议可能会导致高血.
- 建议重新评估手术后的管理方案.
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