Division of Trauma, Critical Care and Acute Care Surgery, Department of Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Crit Care Clin. 2010 Apr;26(2):295-305, table of contents. doi: 10.1016/j.ccc.2009.12.008.
This article focuses on static methods for determining preload, specifically pressure and volumetric indices measured at the bedside. The underlying ventricular function will determine where the patient is located on Frank-Starling ventricular function curve and the patient's response to a fluid challenge. The proper interpretation and use of such measures, coupled with an understanding of their limitations and knowledge of alternative methods, is necessary to guide properly volume resuscitation in the critically ill.
本文重点介绍了确定前负荷的静态方法,特别是在床边测量的压力和容量指数。潜在的心室功能将决定患者在 Frank-Starling 心室功能曲线上的位置以及患者对液体挑战的反应。正确解释和使用这些措施,加上了解其局限性和替代方法的知识,对于指导危重症患者的容量复苏是必要的。