在重症患者的连续置换疗法期间评估心肌麻醉
Hajar Berrichi1,2, Safaa Bekkaoui1,2, Younes Oujidi1,2
1Department of Anaesthesiology and Intensive Care Unit, Mohammed VI University Hospital, Oujda, Morocco.
概括
心肌麻醉,心肌功能下降,影响超过60%的临界病患者在连续置换疗法 (CRRT). 这种情况与更糟糕的结果和增加的死亡率有关.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 关键护理医学 关键护理医学
背景情况:
- 已知在血液透析患者中发生心肌震荡.
- 在接受连续脏替代疗法 (CRRT) 的重症患者中,其发生情况不太清楚.
- 急性损伤 (AKI) 是一种常见的严重疾病,需要CRRT.
研究的目的:
- 在接受CRRT的重症患者中调查心肌麻醉的发生率和临床意义.
- 评估心肌麻醉与患者结局之间的关联.
主要方法:
- 一项前性观察性研究在11个月内进行.
- 招募了38名接受CRRT的AKI重症监护病房 (ICU) 患者.
- 使用心声学参数,包括全球纵向应变和左心室射出分数,来评估心肌麻醉.
主要成果:
- 在60.5%的研究患者中检测到心肌麻醉.
- 麻醉的发生率与增加的血管压力支持有显著的相关性.
- 患有心肌麻醉的患者经历了更长的ICU停留时间和更高的死亡率 (47.8%),相比没有 (6.7%) 的患者.
结论:
- 接受CRRT的重症患者患心肌麻醉的发病率很高.
- 心肌麻醉是该患者群体预后不佳的重要指标.
- 警的心脏监测和及时干预对于改善心肌麻醉CRRT患者的治疗结果至关重要.
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