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[心脏和胸血管手术的血管插管与血流动力学监测——综述]

[Vascular cannulation and hemodynamic monitoring for cardiac and thoracic vascular surgery - a review].

作者信息

Smul Thorsten M, Hoffmann Jörg, Roewer Norbert, Lazarus Marc G

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2014 Jan;49(1):60-7; quiz 68-9. doi: 10.1055/s-0033-1363914. Epub 2014 Jan 20.

Abstract

Cardiac surgery requires cardiopulmonary bypass (CPB) with extracorporeal circulation (ECC) for intracardiac procedures. The surgical strategy determines access for monitoring and insertion sites with high-flow cannulas. The perioperative care of cardiac surgical patients requires adequate hemodynamic monitoring for reasonable catecholamine therapy and fluid management. Therefore, the knowledge of the vascular anatomy is essential to provide professional care to patients undergoing ECC during thoracic vascular and cardiac surgery. This article is a review of hemodynamic monitoring and access for ECC in patients for adult cardiac surgery for anaesthesiologists and intensivists.

摘要

心脏手术在进行心内操作时需要使用体外循环(ECC)的心肺转流(CPB)。手术策略决定了高流量插管的监测通路和插入部位。心脏手术患者的围手术期护理需要进行充分的血流动力学监测,以便进行合理的儿茶酚胺治疗和液体管理。因此,了解血管解剖结构对于在胸血管和心脏手术期间为接受ECC的患者提供专业护理至关重要。本文是一篇针对麻醉医生和重症监护医生的关于成人心脏手术患者ECC血流动力学监测和通路的综述。

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