A Survey of Pediatric Critical Care Providers on the Presence, Severity, and Assessment of Capillary Leak in Critically Ill Children.
A Survey of Pediatric Critical Care Providers on the Presence, Severity, and Assessment of Capillary Leak in Critically Ill Children.
复制标题
对儿科重症监护人员进行的关于危重儿童毛细血管渗漏的存在、严重程度和评估的调查。
DOI：
10.1055/s-0036-1593388
复制
发表时间：
2017
影响因子：
0.7
通讯作者：
Faustino,EdwardVincentS
中科院分区：
文献类型：
--
作者：
Pierce,Richard;Luckett,PeterM;Faustino,EdwardVincentS
PurposeTo确定供应商的意见最常用的因素来评估的存在和严重程度的病理性毛细血管渗漏在critically ill children.MethodsWe进行了一项电子调查的儿科重症监护提供者。提供了患者场景，以评估对毛细血管泄漏的风险、存在和临床意义的意见。使用Likert量表和多项选择题获得响应。ResultsA共160个响应进行了分析。受访者同意感染性休克情况下存在毛细血管渗漏，而受访者在某种程度上同意多发性创伤、心脏骤停或心肺转流也存在毛细血管渗漏。他们同意进行体格检查，但既不同意也不同意实验室检查可用于评估和跟踪这些儿童毛细血管渗漏的严重程度。全身水肿、体重增加和肺湿罗音是评估毛细血管渗漏的常见参数。最常见的毛细血管渗漏的患者因素是感染的存在，而最常见的治疗因素是心肺转流和全身anesthes.ConclusionThere是协议，毛细血管渗漏是常见的危重病患儿和加重疾病。在这项研究中确定的参数可能有助于更标准化的病理性毛细血管渗漏的临床评价，为未来的研究。
PurposeTo determine provider opinions on factors most commonly used to assess the presence and severity of pathologic capillary leak in critically ill children.MethodsWe conducted an electronic survey of pediatric critical care providers. Patient scenarios were presented to assess opinions on the risk, presence, and clinical significance of capillary leak. Responses were obtained using Likert scales and multiple-choice questions.ResultsA total of 160 responses were analyzed. Respondents agreed that capillary leak is present in the scenario with septic shock while respondents somewhat agreed that it is also present with poly-trauma, cardiac arrest, or cardiopulmonary bypass. They agreed that physical exam, but neither agreed nor disagreed that laboratory tests, can be used to assess and follow the severity of capillary leak in these children. Generalized edema, increase in weight, and pulmonary crackles were commonly identified parameters for assessing capillary leak. The patient factor most commonly identified with capillary leak was presence of infection, while treatment factors most commonly identified were cardiopulmonary bypass and general anesthesia.ConclusionThere is agreement that capillary leak is common in critically ill children and exacerbates disease. The parameters identified in this study may facilitate a more standardized clinical evaluation of pathologic capillary leak for future studies.