针对性温度管理以尽量减少心脏骤停后的二次脑损伤:系统性审查
Joana Costa Seixas1, Mariana Oliveira2, Mariana Monteiro3
1Nursing School of Lisbon, Lisbon, Portugal; Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR) - Project Id.Care, Lisbon, Portugal; ULS São José, Lisbon, Portugal.
概括
有针对性的温度管理 (TTM) 改善了心脏骤停 (CA) 幸存者的神经恢复. 本系统性审查详细介绍了当前的TTM协议及其对患者结果的影响,强调神经保护策略.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 心血管研究的心血管研究.
背景情况:
- 心脏骤停 (CA) 的幸存者需要进行干预,以尽量减少二次脑损伤.
- 有针对性的温度管理 (TTM) 显著影响CA后的神经恢复.
- 本系统性审查重点关注成人CA患者.
研究的目的:
- 描述成人CA患者当前的TTM实践.
- 评估TTM对CA幸存者的功能结果的影响.
主要方法:
- 系统性审查于2024年3月至5月进行,遵守乔安娜·布里格斯研究所和PRISMA指南.
- 在Medline,CINAHL Ultimate,Cochrane中央注册和Scopus数据库中进行了搜索.
- 包括接受TTM的成年CA患者的研究,报告了功能结果;Rayyan软件用于数据提取.
主要成果:
- 神经保护涉及连续温度反系统 (膀,食道或腹腔内探针).
- 诱导时间从6.5小时到12小时不等,在32°C37.5°C下维持2448小时.
- 神经预后评估后回暖使用等级,如大脑性能类别和修改的兰金评分的神经预后;镇静剂,抗炎药和神经肌肉阻断剂被管理.
结论:
- 进一步的研究和投资对于推进TTM知识至关重要.
- 完善精确的神经预测工具和评估尺度是未来发展的关键领域.
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