大腹部手术的术中管理和血流动力学监测:叙述性回顾

IF 0.1 Q4 ANESTHESIOLOGY
A. Russo, B. Romano
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引用次数: 0

摘要

背景:一些试验表明,使用血液动力学监测可以改善术后结果,但美国麻醉师学会(ASA)和欧洲麻醉学学会(ESA)的一项调查显示,只有34%的ASA和ESA受访者监测心输出量,73%的ASA和84%的ESA受访者监测中心静脉压。此外,86.5%的ASA受访者和98.1%的ESA受访者认为他们目前的血液动力学管理可以改善(1)。全身麻醉和手术压力的相互作用是术后发病率和死亡率的主要问题和主要原因。为高麻醉风险患者选择合适的血液动力学监测系统对于降低术后主要并发症的发生率至关重要。本综述的目的是总结手术前开始的明确路径的益处,并讨论支持个体化血液动力学方法在腹部大手术中的有效性和安全性的现有证据。目的:评估高危患者围手术期血液动力学治疗算法的临床有效性
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intraoperative management and hemodynamic monitoring for ma- jor abdominal surgery : a narrative review
Background : Several trials suggest that postoperative outcomes may be improved by the use of hemodynamic monitoring, but a survey by the American Society of Anesthesiologists (ASA) and the European Society of Anaesthesiology (ESA) showed that cardiac output is monitored by only 34% of ASA and ESA respondents and central venous pressure is monitored by 73% of ASA respondents and 84% of ESA respondents. Moreover, 86.5% of ASA respondents and 98.1% of ESA respondents believe that their current hemodynamic management could be improved (1). The interaction of general anesthesia and surgical stress is the main problem and the leading cause for postoperative morbidity and mortality. The choice of a suitable hemodynamic monitoring system for patients at high anesthesiological risk is of crucial importance to reduce the incidence of major postoperative complications. The aim of the present review is to summarize the benefits of a defined path beginning before surgery, and discuss the available evidence supporting the efficacy and safety of an individualized hemodynamic approach for major abdominal surgery. Objective : To evaluate the clinical effectiveness of a perioperative hemodynamic therapy algorithm in high risk patients
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
2
期刊介绍: L’Acta Anaesthesiologica Belgica est le journal de la SBAR, publié 4 fois par an. L’Acta a été publié pour la première fois en 1950. Depuis 1973 l’Acta est publié dans la langue Anglaise, ce qui a été résulté à un rayonnement plus internationaux. Depuis lors l’Acta est devenu un journal à ne pas manquer dans le domaine d’Anesthésie Belge, offrant e.a. les textes du congrès annuel, les Research Meetings, … Vous en trouvez aussi les dates des Research Meetings, du congrès annuel et des autres réunions.
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