强化治疗师执行的食道外心电图程序对患者管理的影响 - - 一个为期五年的单一中心经验
Andrew A Alberter1, Taylor Miller1, William A Teeter1
1Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA.
Shock (Augusta, Ga.)
|February 16, 2026
概括
通过强化治疗进行的食管横断心声学 (TEE) 是可行的和安全的,在83%的重症患者中显著改变了临床管理. 这种诊断工具可以改善各种医疗和手术患者的护理.
科学领域:
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 跨食道心声学 (TEE) 整合到密集医疗实践中是有限的.
- 现有研究表明,TEE可以提高诊断确定性和改变患者管理.
- 专家主导的TEE计划的可行性和影响需要进一步调查.
研究的目的:
- 评估强度医师执行的跨食道心声学 (TEE) 程序的可行性.
- 评估强度治疗师对重症患者管理的TEE的影响.
主要方法:
- 单中心,回顾性队列研究.
- 利用来自多学科密集医师执行的TEE数据库的数据.
- 审查了2020年1月至2025年3月期间进行的120个连续TEE研究.
主要成果:
- 在83%的病例 (99/120) 中,强化治疗的TEE改变了临床管理.
- 常见的发现包括右心室功能障碍 (23%),减少LVEF (21%) 和膜病理 (19%).
- 管理变化涉及液体给药 (23%),异位激素启动 (17%) 和ECMO管调整 (13%).
- 发生了一种轻微并发症 (0.8%);没有出血或食道穿孔.
结论:
- 强化治疗师执行的TEE程序是可行的,安全的,并且在临床上是有益的.
- TEE显著改变了重病医疗和手术患者的管理.
- 这种方法可以提高重症监护室的诊断能力.
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