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神经重症监护中的血压管理争议

Blood Pressure Management Controversies in Neurocritical Care.

作者信息

McNett Molly, Koren Jay

机构信息

Nursing Research, The MetroHealth System, Nursing Business Office, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.

Surgical Intensive Care Unit, The MetroHealth System, Nursing Business Office, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.

出版信息

Crit Care Nurs Clin North Am. 2016 Mar;28(1):9-19. doi: 10.1016/j.cnc.2015.09.002. Epub 2015 Nov 27.

DOI:10.1016/j.cnc.2015.09.002
PMID:26873756
Abstract

Blood pressure (BP) management is essential in neurocritical care settings to ensure adequate cerebral perfusion and prevent secondary brain injury. Despite consensus on the importance of BP monitoring, significant practice variations persist regarding optimal methods for monitoring and treatment of BP values among patients with neurologic injuries. This article provides a summary of research investigating various approaches for BP management in neurocritical care. Evidence-based recommendations, areas for future research, and current technological advancements for BP management are discussed.

摘要

在神经重症监护环境中,血压管理对于确保充足的脑灌注和预防继发性脑损伤至关重要。尽管对于血压监测的重要性已达成共识,但在神经损伤患者中,关于血压值监测和治疗的最佳方法仍存在显著的实践差异。本文总结了对神经重症监护中各种血压管理方法的研究。讨论了基于证据的建议、未来研究领域以及血压管理的当前技术进展。

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