对于重症儿科患者的流体治疗的ROSE框架
Romina Aparecida Dos Santos Gomes1,2, Manu L N G Malbrain3,4,5, Adriana Teixeira Rodrigues1,2
1Department of Pediatrics, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Anaesthesiology intensive therapy
|March 4, 2026
概括
ROSE框架适用于儿科流体管理,显示了个性化护理的可行性和潜力. 虽然液体积累是相似的,但训练后粘附性得到改善.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 流体管理策略 流体管理策略
- 临床框架实施实施
背景情况:
- 重症儿童经常经历液体过载,影响结果.
- 复苏,优化,稳定,疏散 (ROSE) 框架为流体治疗提供了一个结构化的方法.
- 评估ROSE框架在儿科重症监护中的适用性至关重要.
研究的目的:
- 评估ROSE框架对重症儿科患者流体管理的可行性和影响.
- 评估框架在预防液体积累和改善临床结果方面的有效性.
- 在ROSE框架的不同阶段对流体积累百分比 (FA%) 进行比较.
主要方法:
- 一项准实验性研究比较了机械通风,血管活性依赖儿童的回顾和前性队列 (n=122).
- 为潜在队伍实施关于ROSE引导流体管理的结构化培训.
- 测量结果包括液体积累百分比 (FA%),机械通风持续时间,PICU停留时间和置换疗法 (RRT) 的需要.
主要成果:
- 流体积累百分比 (FA%) 在多个时间点的回顾和前性队列之间保持相似.
- 在复苏,优化和疏散阶段,FA%相当于复苏,优化和疏散阶段,但在预期队列中稳定期间更高.
- 在ROSE框架实施后,对FA%目标的坚持从67.9%增加到72.4%;其他临床结果类似.
结论:
- ROSE框架是一个可行的方法,用于管理重症儿科患者的流体治疗.
- 它为控制液体积累提供了有价值的基准测试,并显示了个性化液体管理的前景.
- 建议在以前没有接触过ROSE框架的中心进行进一步的验证.
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