在开始治疗婴儿血瘤之前减少常规心脏病评估
Eve P Champaloux1, Sherise Epstein2, Catherine Bull3
1Department of Otolaryngology-Head & Neck Surgery, University of Washington School of Medicine, Seattle, Washington, USA.
概括
在治疗婴儿血管瘤 (IH) 之前,对健康婴儿进行常规心脏病评估是不必要的. 一个Propranolol查清单 (PSC) 有效地识别需要专家转诊的患者,提高效率和及时治疗.
科学领域:
- 儿童皮肤病学
- 心脏病学
- 药理学
背景情况:
- 婴儿血管瘤 (IH) 是婴儿常见的血管瘤.
- 醇是IH的第一线治疗方法,但有时建议在开始前进行心脏评估.
- 为了标准化心脏病转诊标准,制定了Propranolol查清单 (PSC).
研究的目的:
- 确定所有患有IH的婴儿是否需要在普拉诺洛尔治疗前进行全身心脏病评估.
- 评估Propranolol查清单 (PSC) 对心脏病转诊率的影响.
主要方法:
- 对806名用普拉诺洛尔治疗的IH患者进行了回顾.
- 使用统计过程控制进行PSC实施前后心脏病转诊率的比较.
- 在治疗前获得的心脏检测 (心电图,心电图) 的分析.
主要成果:
- 心脏病转诊率从PSC前的73. 1%大幅下降到PSC后的11. 5% (P<. 001).
- 在PSC实施后进行的心脏检测较少.
- 由于查过程,没有患者被拒绝接受普拉诺洛尔治疗.
结论:
- 在开始使用propranolol之前,没有必要对其他健康的婴儿进行常规心脏病评估.
- PSC有效地确定需要心脏病转诊的婴儿,简化护理.
- 实施PSC可以提高效率,减少专家护理等待时间,并促进IH的及时治疗.
相关概念视频
Adrenergic Antagonists: Pharmacological Actions of β-Receptor Blockers
970
β-receptor blockers significantly impact the cardiovascular system by counteracting catecholamine-induced sympathetic responses. These medications decrease heart rate, contractility, and cardiac output, potentially leading to cardiac depression, life-threatening bradycardia, and death. Therapeutically, β-blockers function as mild antihypertensives and are utilized in treating angina pectoris and cardiac arrhythmias. However, nonselective β-blockers inhibit β2-receptors in...
970
Adrenergic Antagonists: ɑ and β-Receptor Blockers
597
Third-generation β-blockers, such as labetalol and carvedilol, represent a significant advancement in managing cardiovascular conditions. Unlike conventional β-blockers, which can induce peripheral vasoconstriction, third-generation drugs block α1 adrenoceptors. This promotes vasodilation through several mechanisms, such as increased nitric oxide production, inhibition of calcium ion entry, opening of potassium ion channels, and antioxidant action. Labetalol, for instance, is...
597
Assessment of apical pulse
1.2K
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
1.2K
Cardiac Catheterization I: Pre-Procedure Overview
153
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
153
Antihypertensive Drugs: Types of β-Blockers
863
β receptors are classified into three subclasses: β1, β2, and β3. β1 receptors are primarily located in the heart and kidneys. When they get activated, they increase heart rate, contractility, and renin release. This process enhances blood pressure and aids in stress management. In contrast, β2 receptors are situated mainly in the lungs, blood vessels, and skeletal muscles. Upon activation, they trigger smooth muscle relaxation, causing bronchodilation and...
863
Pre-Procedural Guidelines for Assessing Blood Pressure
626
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
626


