保护性血液动力学：管理血压的新策略。

IF 3.5 3区医学 Q1 CRITICAL CARE MEDICINE

Current Opinion in Critical Care Pub Date : 2024-09-09 DOI:10.1097/MCC.0000000000001205

Filippo D'Amico, Giovanni Landoni

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引用次数: 0

摘要

综述的目的：本社论旨在强调重症患者管理中保护性血液动力学概念的演变：最近的文献强调了硬性血压目标的局限性，尤其是在重症监护和围手术期管理中。高血压目标，尤其是在使用大剂量血管加压药的情况下，可能会导致不良后果。保护性血流动力学 "旨在保持心血管稳定，同时降低与干预相关的风险。摘要：采用保护性血流动力学对临床实践和研究都有深远的影响。在临床上，这种方法可以减少先天性伤害，改善危重病人的长期预后。在研究方面，它为研究个体化血液动力学管理策略开辟了新途径，这种策略优先考虑患者的整体稳定性和长期健康，而不是硬性目标的实现。

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Protective hemodynamics: a novel strategy to manage blood pressure.

Purpose of review: This editorial aims to highlight the evolving concept of protective hemodynamics in the management of critically ill patients.

Recent findings: Recent literature underscores the limitations of rigid blood pressure targets, particularly in the context of critical care and perioperative management. High blood pressure targets, especially when coupled with high-dose vasopressors, can lead to poor outcomes. 'Protective hemodynamics' aims to maintain cardiovascular stability while reducing risks associated with interventions.

Summary: The implications of adopting protective hemodynamics are profound for both clinical practice and research. Clinically, this approach can reduce iatrogenic harm and improve long-term outcomes for critically ill patients. For research, it opens new avenues for investigating individualized hemodynamic management strategies that prioritize overall patient stability and long-term health over rigid target attainment.

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来源期刊

Current Opinion in Critical Care 医学-危重病医学

CiteScore

5.90

自引率

3.00%

发文量

172

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.