软件引导下肾移植受者血流动力学管理:1例报告。

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A&A Practice Pub Date : 2022-09-21 eCollection Date: 2022-09-01 DOI:10.1213/XAA.0000000000001622

Stephen F Woodford, Lachlan F Miles, Dong-Kyu Lee, Laurence Weinberg

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引用次数: 1

摘要

同种异体肾移植在围手术期的功能部分取决于最小化血流动力学不稳定性。我们开发了一种名为“压力场”的血流动力学监测软件，用于一位68岁的高危肾移植受者。“压力场”用于个体化液体和药物给药，并复制术前血流动力学。患者术中接受净零液体，术后过程平稳。我们发现压力场法有助于控制该高危患者的围手术期血流动力学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

A Software-Guided Approach to Hemodynamic Management in a Renal Transplant Recipient: A Case Report.

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A Software-Guided Approach to Hemodynamic Management in a Renal Transplant Recipient: A Case Report.

The function of renal allografts in the perioperative period is partly dependent on minimizing hemodynamic instability. We have developed hemodynamic monitoring software-named the "pressure field"-that was utilized in a 68-year-old high-risk kidney transplant recipient. The "pressure field" was used to individualize fluid and drug administration and replicate the preoperative hemodynamics. The patient received net zero fluid intraoperatively and had an uneventful postoperative course. We found the pressure field method helpful to manage perioperative hemodynamics in this high-risk patient.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.