进一步注意使用通气引起的动脉压变化来预测容量反应性。
Further cautions for the use of ventilatory-induced changes in arterial pressures to predict volume responsiveness.
机构信息
Royal Victoria Hospital, 687 Pine Avenue West, Montreal, Quebec, Canada.
出版信息
Crit Care. 2010;14(5):197. doi: 10.1186/cc9223. Epub 2010 Sep 20.
Abstract
Variations in systemic arterial pressure with positive-pressure breathing are frequently used to guide fluid management in hemodynamically unstable patients. However, because of the complex physiology that determines the response, there are important limitations to their use. Two papers in a previous volume add pulmonary hypertension as limitations. Uncritical use of ventilatory-induced changes in arterial pressure can lead to excessive volume therapy and potential clinical harm, and they must be used with respect and thought.
摘要
在血流动力学不稳定的患者中，常通过正压通气时的体循环动脉压变化来指导液体管理。然而，由于决定这种反应的复杂生理学，其应用存在重要限制。前一卷中的两篇论文增加了肺动脉高压作为限制因素。不恰当地使用通气引起的动脉压变化可能导致过度的容量治疗和潜在的临床危害，必须谨慎使用。
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本文引用的文献
1
Pulse pressure variation and volume responsiveness during acutely increased pulmonary artery pressure: an experimental study.肺动脉压急性升高时的脉压变化与容量反应性：一项实验研究。
Crit Care. 2010;14(3):R122. doi: 10.1186/cc9080. Epub 2010 Jun 24.
2
Pulse-pressure variation and hemodynamic response in patients with elevated pulmonary artery pressure: a clinical study.肺动脉压升高患者的脉压变化与血流动力学反应：一项临床研究。
Crit Care. 2010;14(3):R111. doi: 10.1186/cc9060. Epub 2010 Jun 11.
3
Clinical usefulness of respiratory variations in arterial pressure.动脉压呼吸变异的临床应用价值
Am J Respir Crit Care Med. 2004 Jan 15;169(2):151-5. doi: 10.1164/rccm.200211-1360CC.
4
Alveolar pressure, pulmonary venous pressure, and the vascular waterfall.肺泡压、肺静脉压与血管瀑布
Med Thorac. 1962;19:239-60. doi: 10.1159/000192224.
5
Effect of lung inflation on static pressure-volume characteristics of pulmonary vessels.肺膨胀对肺血管静态压力-容积特性的影响。
J Appl Physiol. 1961 Jan;16:64-70. doi: 10.1152/jappl.1961.16.1.64.
6
Effect of inflation of the lung on different parts of pulmonary vascular bed.肺膨胀对肺血管床不同部位的影响。
J Appl Physiol. 1961 Jan;16:71-6. doi: 10.1152/jappl.1961.16.1.71.
7
Echo-Doppler demonstration of acute cor pulmonale at the bedside in the medical intensive care unit.在医疗重症监护病房床边通过超声多普勒对急性肺心病进行演示。
Am J Respir Crit Care Med. 2002 Nov 15;166(10):1310-9. doi: 10.1164/rccm.200202-146CC.
8
Mechanical effects of inspiration on heart functions: a review.吸气对心脏功能的机械作用：综述
Fed Proc. 1981 Jun;40(8):2172-7.
9
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Anesthesiology. 1987 Oct;67(4):498-502. doi: 10.1097/00000542-198710000-00009.
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