肱动脉血流速度变化：手持式超声又一胜利？
Brachial artery flow velocity variation: another victory for hand-carried ultrasound?
机构信息
Department of Internal Medicine, University of Iowa, 200 Hawkins Drive, C33-GH, Iowa City, IA 52246, USA.
出版信息
Crit Care. 2009;13(5):195. doi: 10.1186/cc8120. Epub 2009 Oct 16.
Abstract
Dynamic predictors are clearly superior to static pressures in predicting whether a patient will respond to a fluid bolus. Hand-carried ultrasound (HCUS) can measure changes in blood flow velocity in the brachial artery that parallel arterial pulse pressure variation. The potential for HCUS to guide fluid therapy non-invasively must overcome problems of sensitivity and applicability.
摘要
动态预测指标明显优于静态压力，可用于预测患者对液体冲击的反应。手持式超声（HCUS）可测量肱动脉血流速度变化，与动脉脉搏压变化平行。HCUS 具有非侵入性引导液体治疗的潜力，但必须克服灵敏度和适用性问题。
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本文引用的文献
1
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Crit Care. 2009;13(5):R142. doi: 10.1186/cc8027. Epub 2009 Sep 3.
2
Fluid therapy in resuscitated sepsis: less is more.
Chest. 2008 Jan;133(1):252-63. doi: 10.1378/chest.07-1496.
3
Radial artery pulse pressure variation correlates with brachial artery peak velocity variation in ventilated subjects when measured by internal medicine residents using hand-carried ultrasound devices.
Chest. 2007 May;131(5):1301-7. doi: 10.1378/chest.06-1768.
4
Pulmonary artery occlusion pressure and central venous pressure fail to predict ventricular filling volume, cardiac performance, or the response to volume infusion in normal subjects.
Crit Care Med. 2004 Mar;32(3):691-9. doi: 10.1097/01.ccm.0000114996.68110.c9.
5
The respiratory variation in inferior vena cava diameter as a guide to fluid therapy.
Intensive Care Med. 2004 Sep;30(9):1834-7. doi: 10.1007/s00134-004-2233-5. Epub 2004 Mar 25.
6
Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients.
Intensive Care Med. 2004 Sep;30(9):1740-6. doi: 10.1007/s00134-004-2259-8. Epub 2004 Mar 18.
7
Respiratory changes in aortic blood velocity as an indicator of fluid responsiveness in ventilated patients with septic shock.
Chest. 2001 Mar;119(3):867-73. doi: 10.1378/chest.119.3.867.
8
Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure.
Am J Respir Crit Care Med. 2000 Jul;162(1):134-8. doi: 10.1164/ajrccm.162.1.9903035.
9
Does the pulmonary capillary wedge pressure predict left ventricular preload in critically ill patients?
Crit Care Med. 1981 Jun;9(6):437-43. doi: 10.1097/00003246-198106000-00001.
10
Poor correlation between pulmonary arterial wedge pressure and left ventricular end-diastolic volume after coronary artery bypass graft surgery.
Anesthesiology. 1986 Jun;64(6):764-70. doi: 10.1097/00000542-198606000-00015.
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