Management of the peri-intubation period in patients with pulmonary arterial hypertension and respiratory failure.

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
ACS Applied Electronic Materials Pub Date : 2024-08-01 Epub Date: 2024-06-24 DOI:10.1007/s11886-024-02081-y
Alexander I Papolos, Benjamin B Kenigsberg, Daniel R Austin, Christopher F Barnett
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引用次数: 0

Abstract

Purpose of review: The endotracheal intubation of patients with pulmonary arterial hypertension (PAH) in respiratory distress is a highly morbid procedure that can precipitate hemodynamic collapse. Here we review our strategy for confronting this difficult clinical situation.

Recent findings: There are no clinical trials that explore best practices in the management of patients with PAH and respiratory failure. Here we provide a practical approach to respiratory support, inopressor and pulmonary vasodilator selection, hemodynamic considerations, point-of-care ultrasound monitoring, and endotracheal intubation in patients with PAH in respiratory failure.

Abstract Image

肺动脉高压和呼吸衰竭患者插管前的管理。
审查目的:对呼吸窘迫的肺动脉高压(PAH)患者进行气管插管是一项非常危险的操作,可能导致血流动力学衰竭。在此,我们回顾了应对这一临床难题的策略:目前还没有临床试验来探索治疗 PAH 和呼吸衰竭患者的最佳方法。在此,我们提供了一种实用的方法,用于 PAH 呼吸衰竭患者的呼吸支持、减压和肺血管扩张剂选择、血液动力学考虑因素、护理点超声监测和气管插管。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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