Bakhsh Abdullah, Alotaibi Leena
The King Abdulaziz University, Department of Emergency Medicine, Jeddah, Saudi Arabia.
The King Abdulaziz University, Faculty of Medicine, Jeddah, Saudi Arabia.
Clin Pract Cases Emerg Med. 2021 Nov;5(4):390-393. doi: 10.5811/cpcem.2021.4.51161.
Emergency physicians frequently encounter critically ill patients in circulatory shock requiring definitive airway procedures. Performing rapid sequence intubation in these patients without blood pressure correction has lethal complications. Questioning the efficacy and fearing side effects of push-dose pressors (PDP) has created an obstacle for their use in the emergency department (ED) setting. In this case series we describe the efficacy and side effects of PDP use during peri-intubation hypotension in the ED.
We included 11 patients receiving PDPs in this case series. The mean increase in systolic blood pressure was 41.3%, in diastolic blood pressure 44.3%, and in mean arterial pressure 35.1%. No adverse events were documented in this case series.
The use of push-dose pressors during peri-intubation hypotension may potentially improve hemodynamic status when used carefully in the ED.
急诊医生经常会遇到处于循环性休克的重症患者，这些患者需要进行确定性气道操作。在未纠正血压的情况下对这些患者进行快速顺序插管会带来致命并发症。对推注剂量血管加压药（PDP）的疗效存疑以及担心其副作用，为其在急诊科的使用造成了障碍。在本病例系列中，我们描述了在急诊科围插管期低血压期间使用PDP的疗效和副作用。
本病例系列纳入了11例接受PDP治疗的患者。收缩压平均升高41.3%，舒张压平均升高44.3%，平均动脉压平均升高35.1%。本病例系列中未记录到不良事件。
在急诊科小心使用推注剂量血管加压药，可能会在围插管期低血压时改善血流动力学状态。
