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心率、酸中毒、意识、氧合及呼吸频率:完美的撤机指标还是初来乍到的新手?

Heart Rate, Acidosis, Consciousness, Oxygenation, and Respiratory Rate: A Perfect Weaning Index or Just a New Kid on the Block.

作者信息

Pande Rajesh Kumar, Sharma Jitin

机构信息

Department of Critical Care, BLK-MAX Super Speciality Hospital, New Delhi, India.

出版信息

Indian J Crit Care Med. 2022 Aug;26(8):887-888. doi: 10.5005/jp-journals-10071-24290.

DOI:10.5005/jp-journals-10071-24290
PMID:36042771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9363811/
Abstract

UNLABELLED

Successful weaning is when spontaneous breathing is sustained for more than 48 hours after extubation. Despite a plethora of individual and composite weaning indices being available, most indices have not found much clinical utility, and weaning continues to be largely based on clinical assessment. Heart rate, acidosis, consciousness, oxygenation, and respiratory rate (HACOR) is a new score for prediction of failure of noninvasive ventilation (NIV) in hypoxemic patients receiving NIV. The present study explores its utilization in weaning from invasive ventilation.

HOW TO CITE THIS ARTICLE

Pande RK, Sharma J. Heart Rate, Acidosis, Consciousness, Oxygenation, and Respiratory Rate: A Perfect Weaning Index or Just a New Kid on the Block. Indian J Crit Care Med 2022;26(8):887-888.

摘要

未标注

成功撤机是指拔管后自主呼吸持续超过48小时。尽管有大量的个体和综合撤机指标可供使用,但大多数指标尚未发现有太多临床实用性,撤机在很大程度上仍基于临床评估。心率、酸中毒、意识、氧合和呼吸频率(HACOR)是预测接受无创通气(NIV)的低氧血症患者无创通气失败的新评分。本研究探讨其在有创通气撤机中的应用。

如何引用本文

潘德RK,夏尔马J。心率、酸中毒、意识、氧合和呼吸频率:一个完美的撤机指标还是初来乍到的新手。《印度重症监护医学杂志》2022年;26(8):887 - 888。

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本文引用的文献

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2
An updated HACOR score for predicting the failure of noninvasive ventilation: a multicenter prospective observational study.更新的 HACOR 评分预测无创通气失败:一项多中心前瞻性观察研究。
Crit Care. 2022 Jul 3;26(1):196. doi: 10.1186/s13054-022-04060-7.
3
Early assessment of the efficacy of noninvasive ventilation tested by HACOR score to avoid delayed intubation in patients with moderate to severe ARDS.早期评估 HACOR 评分测试的无创通气疗效,以避免中重度 ARDS 患者发生延迟插管。
Ther Adv Respir Dis. 2022 Jan-Dec;16:17534666221081042. doi: 10.1177/17534666221081042.
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Respir Med. 2021 Oct;187:106550. doi: 10.1016/j.rmed.2021.106550. Epub 2021 Jul 27.
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