基于左心室流出道速度-时间积分测量的血流动力学休克鉴别诊断的简单算法:一个病例系列。

IF 3.4 Q2 Medicine
J Mercadal, X Borrat, A Hernández, A Denault, W Beaubien-Souligny, D González-Delgado, M Vives
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引用次数: 1

摘要

超声心动图在过去的15年中在重症监护医生中得到了广泛的接受。目前评估血流动力学不稳定患者的算法缺乏认可的形成,需要长时间的学习曲线以及过度的结构取向阻碍了其在重症监护病房的日常使用。本文的目的是展示4个案例,在这些案例中,我们基于VTI的简单算法的使用至关重要。随后,从更实用的角度解释使用所提出的算法作为临床决策手段的好处。西班牙重症监护超声网络小组提出了一种基于左心室流出道速度-时间积分测量的简单算法,用于血流动力学休克或不稳定患者的功能性血流动力学监测。该算法考虑灌注和拥塞变量。它的简单性可能有助于指导医生对血液动力学休克重症患者的日常决策管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A simple algorithm for differential diagnosis in hemodynamic shock based on left ventricle outflow tract velocity-time integral measurement: a case series.

A simple algorithm for differential diagnosis in hemodynamic shock based on left ventricle outflow tract velocity-time integral measurement: a case series.

A simple algorithm for differential diagnosis in hemodynamic shock based on left ventricle outflow tract velocity-time integral measurement: a case series.

A simple algorithm for differential diagnosis in hemodynamic shock based on left ventricle outflow tract velocity-time integral measurement: a case series.

Echocardiography has gained wide acceptance among intensive care physicians during the last 15 years. The lack of accredited formation, the long learning curve required and the excessive structural orientation of the present algorithms to evaluate hemodynamically unstable patients hampers its daily use in the intensive care unit. The aim of this article is to show 4 cases where the use of our simple algorithm based on VTI, was crucial. Subsequently, to explain the benefit of using the proposed algorithm with a more functional perspective, as a means for clinical decision-making. A simple algorithm based on left ventricle outflow tract velocity-time integral measurement for a functional hemodynamic monitoring on patients suffering hemodynamic shock or instability is proposed by Spanish Critical Care Ultrasound Network Group. This algorithm considers perfusion and congestion variables. Its simplicity might be useful for guiding physicians in their daily decision-making managing critically ill patients in hemodynamic shock.

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来源期刊
Ultrasound Journal
Ultrasound Journal Health Professions-Radiological and Ultrasound Technology
CiteScore
6.80
自引率
2.90%
发文量
45
审稿时长
22 weeks
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