在接受儿科心脏重症监护病房治疗的术后患者中对分层替代方案的评估
Taylor A VandenBerg1, Letha A Huang1, Chad A Mackman2
1Department of Pharmacy (TAV, LAH, JLP), AdventHealth for Children, Orlando, FL.
概括
我们的研究表明,一个分层的静脉注射协议有效地治疗儿科心脏重症监护室患者的低血. 该方案解决了低水平,危险高血症的风险最小.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 密集护理医学 密集护理医学
- 临床药房 临床药房
背景情况:
- 手术后的低血在儿科心脏重症监护病房中很常见.
- 现有的替代方案各不相同,对分层方法的数据有限.
研究的目的:
- 评估一种新的分层静脉替代方案的疗效和安全性.
- 评估该协议在儿科心脏手术患者中的有效性.
主要方法:
- 回顾性,单中心的观察性研究.
- 包括23名儿科患者 (18岁以下) 的心脏手术后心脏手术.
- 分析了95个低血发作 (血清≤3.7mEq/L) 和替代剂量.
主要成果:
- 在两种协议级别中,一剂量的中位数解决了低血.
- 发生了两例 (2.1%) 中度高血症 (血清≥5.5mEq/L).
- 没有任何超血症发作显示出心电图异常或需要治疗.
结论:
- 阶层协议有效地解决了低血清症.
- 更高的替代值和剂量并没有导致显著的高血症.
- 该方案提供了一种安全有效的选择,用于管理这一群体的低血.
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