[心脏重症监护室中的肺动脉导管]。

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Luca Baldetti, Piero Gentile, Mauro Gori, Anna Mara Scandroglio, Nicola Gasparetto, Paolo Trambaiolo, Serafina Valente, Marco Marini
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引用次数: 0

摘要

肺动脉导管(PAC)在引入临床实践 50 多年后,随着心脏重症监护病房护理强度的增加、接受治疗的患者人群发生变化以及循环支持系统的普及,它仍然是诊断、监测和预后心源性休克患者的重要工具。在这篇综述中,我们将讨论如何确定哪些患者可以从使用 PAC 中获益最多,以及 PAC 的配置和正确插入技术。我们还将提供一份实用指南,用于解释 PAC 能够显示的血液动力学指标(直接指标和计算指标),并总结在阅读或解释 PAC 提供的压力曲线时最常见的错误。在本文中,我们将介绍如何在现代心脏重症监护病房中使用 PAC 的实用指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The pulmonary artery catheter in the intensive cardiac care unit].

More than 50 years after its introduction in clinical practice, the increase in the intensity of care offered by the cardiac intensive care units, the shift in the population of patients treated and the wider availability of circulatory supports, still makes the pulmonary artery catheter (PAC) an essential tool for diagnosis, monitoring and prognosis in patients suffering from cardiogenic shock. In this review, we will discuss how to identify those patients who can benefit most from its use, the configuration and the correct insertion technique of a PAC. A pragmatic guide will also be provided for the interpretation of the hemodynamic indexes (direct and calculated) that the PAC is able to reveal as well as a summary of the most common errors in reading or interpreting the pressure curves provided by the PAC. In this article, we will then present a practical guide on how to use the PAC in a modern cardiac intensive care unit.

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Giornale italiano di cardiologia
Giornale italiano di cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
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