内延伸度指数作为接受选择性手术的成年患者流体反应的预测指标 - 一项前性准确性研究
Dita Aditianingsih1, Aldy Heriwardito1, Laksmi Senja Agusta1
1Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Indonesia.
Indian journal of anaesthesia
|March 31, 2025
概括
内静脉延伸度指数 (IJV-DI) 有效地评估了手术患者的液体反应. 这种方法与中风体积变化有很好的相关性,为流体管理提供了心声回声学的可靠替代方案.
科学领域:
- 麻醉学和重症监护医学
- 心血管生理学心血管生理学
- 手术患者监测手术患者监测
背景情况:
- 对手术患者来说,准确评估血管内体积至关重要.
- 在外科手术期间,预测流体反应能力可能是具有挑战性的.
- 内静脉延伸度指数 (IJV-DI) 提供了一种潜在的非侵入性方法来评估液体状况.
研究的目的:
- 评估IJV-DI适用于测量中风体积的适用性.
- 在评估液体响应时,将IJV-DI与胸前心电回声学进行比较.
- 为了确定IJV-DI在选择性手术患者的诊断准确性.
主要方法:
- 对79名在全身麻醉下接受选择性手术的患者进行前性研究.
- 在液体注射之前和之后进行了IJV-DI和中风体积测量.
- 用接收机操作员特征 (ROC) 曲线分析来确定诊断值.
主要成果:
- 曲线下的面积 (AUC) 为0.871,表明了良好的诊断性能.
- 最佳IJV-DI切线>12.62%显示了84.4%的灵敏度和79.4%的特异性.
- 在IJV-DI和中风体积增加之间发现了中度正相关性 (r = 0.535).
结论:
- IJV-DI测量是评估流体响应性的合适方法.
- IJV-DI与胸前心电回声学兼容,用于评估手术患者的液体反应.
- 在选择性外科手术中,IJV-DI为指导流体管理提供了有价值的工具.
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