Management of Critically Ill Patients With Pulmonary Arterial Hypertension in Transport: A Narrative Review

Q3 Nursing
Michael J. Lauria MD, NRP, FP-C , Andrew Merelman MD , Jennifer L. Thompson MD , Darren A. Braude MD, MPH , A. Doran Bostwick MD
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引用次数: 0

Abstract

Pulmonary arterial hypertension (PAH) is a unique disease process with a highly complex physiology. Patients with PAH are often on specialized medications that exert specific hemodynamic effects. Furthermore, when they become critically ill, the management strategy can be counterintuitive. Commonly accepted, evidence-based management for the general population, such as fluid boluses in the setting of sepsis, can be harmful to this patient cohort. Often, these patients require highly specialized care at tertiary and quaternary centers, which necessitates critical care transport. Therefore, it is important that critical care transport crews understand the distinctive pathophysiology and management of critically ill patients with PAH.
危重患者肺动脉高压在运输中的处理:叙述性回顾
肺动脉高压(PAH)是一种独特的疾病,具有高度复杂的生理过程。PAH患者通常需要特殊的药物来发挥特定的血流动力学作用。此外,当他们病入膏肓时,管理策略可能会违反直觉。一般人群普遍接受的循证管理,如败血症背景下的液体丸,可能对这一患者群体有害。通常,这些患者需要在三级和四级中心进行高度专业化的护理,这就需要进行重症监护运输。因此,重症监护运输人员了解PAH危重患者独特的病理生理和管理是很重要的。
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来源期刊
Air Medical Journal
Air Medical Journal Nursing-Emergency Nursing
CiteScore
1.20
自引率
0.00%
发文量
112
审稿时长
69 days
期刊介绍: Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.
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