术内低血压和血管活性治疗:对麻醉科医生的国际调查
Emilie S Bækgaard1,2, Morten Vester-Andersen2,3,4, Vera Crone1,2
1Department of Anaesthesia and Intensive Care, Holbæk Hospital, Holbæk, Denmark.
Acta anaesthesiologica Scandinavica
|February 3, 2026
概括
大多数麻醉科医生在60或65mmHg的平均动脉压下开始治疗手术内低血压. 对于研究最佳血压目标和在麻醉期间选择血管活性剂的研究有强烈的支持.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 外科手术的结果
背景情况:
- 术内低血压在麻醉期间很常见,但缺乏标准化的定义.
- 临床实践指南存在,但实际应用仍然不清楚.
- 了解麻醉师对血压管理的看法至关重要.
研究的目的:
- 调查麻醉科医生的实践和对手术期间血压管理的意见.
- 评估参与未来低血压研究的意愿.
- 为了确定首选的血压值和血管活性剂比较.
主要方法:
- 国际上对执业麻醉师的在线调查.
- 收集关于常规实践,意见和研究偏好的数据.
- 结果被描述性地分析,遵循基于共识的调查报告报告清单 (CROSS).
主要成果:
- 来自11个欧洲国家的1640名麻醉师参加了这次试验.
- 大多数人使用平均动脉压 (MAP) <60或65mmHg开始血管活性治疗.
- 常见的例外包括慢性高血压,创伤性脑损伤和抬头定位.
- 很高的意愿 (92%) 随机选择患者以达到血压目标,通常在MAP 60 mmHg.
- 乙烯与诺拉德林是最受欢迎的血管活性剂的比较.
结论:
- 60或65mmHg的MAP值通常用于启动血管活性治疗.
- 特定的患者群体 (慢性高血压,TBI,头部上升手术) 需要改变值.
- 对最佳MAP值和血管活性剂选择的试验有强烈的支持.
- 在通过外周静脉通道给药血管活性剂的地理差异.
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