OptimuMed, Las Vegas, NV.
Lifeguard Air Emergency Services, Albuquerque, NM; Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque, NM.
Air Med J. 2022 Mar-Apr;41(2):248-251. doi: 10.1016/j.amj.2021.11.006. Epub 2021 Dec 25.
Noninvasive blood pressure monitoring is convenient in the prehospital setting, but its use in the critically ill patient should be carefully considered given documented inaccuracies. Countless therapeutic patient interventions are based on blood pressure parameters, and the prehospital paramedic, nurse, and physician should strongly consider the use of invasive blood pressure monitoring, especially during critical care transport. Radial artery cannulation for arterial blood pressure monitoring is a safe and effective procedure that can reasonably be performed in the prehospital setting by both physicians and nonphysicians. Critical care transport teams should consider clinical guidelines that outline indications and training to safely implement this as a clinical skill.
非侵入性血压监测在院前环境中较为方便，但由于存在已记录的不准确性，应谨慎考虑将其用于危重症患者。无数治疗性患者干预措施都基于血压参数，因此院前护理人员、护士和医生应强烈考虑使用有创血压监测，特别是在重症监护转运期间。经桡动脉置管进行动脉血压监测是一种安全有效的操作，医生和非医生都可以在院前环境中合理进行。重症监护转运团队应考虑临床指南，这些指南概述了实施这一临床技能的适应证和培训。
