Principals of hemodynamic monitoring.
Principals of hemodynamic monitoring.
复制标题
血流动力学监测原理。
DOI：
10.1159/000102078
复制
发表时间：
2007
影响因子：
--
通讯作者：
Pinsky,MichaelR
中科院分区：
文献类型：
--
作者：
Polanco,PatricioM;Pinsky,MichaelR
背景/目的血流动力学监测是重症监护病房患者管理的基石。然而，要有效地使用它的应用程序和局限性需要被定义和应用范围内的背景下，证明therapeutic approaches.MethodsReview的生理基础监测和文献回顾其效用在改变patient outcomes.ResultsMost形式的监测是用来防止心血管恶化或恢复心血管健康。然而，几乎没有数据支持广泛使用积极的复苏方案，但在所有最急性病发生前的器官损伤。结果改善与积极复苏的一些患者提出早期严重脓毒症和术后高风险的手术patients.ConclusionsMonitoring应针对性地满足患者的具体需求，不应应用于广泛的时尚，只要有可能，它应被用作一个治疗方案的一部分，证明疗效。
Background/AimsHemodynamic monitoring is the cornerstone of patient management in the intensive care unit. However, to be used effectively its applications and limitations need to be defined and its values applied within the context of proven therapeutic approaches.MethodsReview of the physiological basis for monitoring and a review of the literature on its utility in altering patient outcomes.ResultsMost forms of monitoring are used to prevent cardiovascular deterioration or restore cardiovascular wellness. However, little data support the generalized use of aggressive resuscitation protocols in all but the most acutely ill prior to the onset of organ injury. Outcomes improve with aggressive resuscitation in some patients presenting with early severe sepsis and in postoperative high-risk surgical patients.ConclusionsMonitoring should be targeted to meet the specific needs of the patient and should not be applied in a broad fashion and whenever possible it should be used as part of a treatment protocol of proven efficacy.