Ahrens T
Department of Critical Care, Barnes-Jewish Hospital, Washington University Medical Center, St. Louis, Missouri, USA.
Crit Care Nurs Clin North Am. 1999 Mar;11(1):19-31.
Hemodynamic monitoring is one of the most exciting and potentially useful technologies in critical care. Hemodynamic monitoring, particularly the PAC, is the technology most often associated with the critical care unit. However, it is a difficult technology to master and is associated with clear (although infrequent) serious complications. It can also be associated with increased costs. With appropriate implementation, this technology can improve patient outcome and moderately reduce costs. Appropriate implementation is not easy with this technology. This type of technology should only be employed in hospitals willing to invest the education and quality monitoring to ensure its appropriate application. As a part of this infrastructure, physicians and nurses need frequent communication in terms of what is expected from this technology for each patient.
血流动力学监测是重症监护中最令人兴奋且可能最有用的技术之一。血流动力学监测,尤其是肺动脉导管监测,是与重症监护病房联系最为紧密的技术。然而,这是一项难以掌握的技术,且伴有明确(尽管不常见)的严重并发症。它还可能导致成本增加。通过适当应用,这项技术可以改善患者预后并适度降低成本。但要适当应用这项技术并不容易。这类技术仅应在愿意投入教育和质量监测以确保其合理应用的医院中使用。作为这一基础设施的一部分,医生和护士需要就该技术对每位患者的预期效果进行频繁沟通。