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重症医学会危重病患者血流动力学监测指南

ISCCM Guidelines for Hemodynamic Monitoring in the Critically Ill.

作者信息

Kulkarni Atul Prabhakar, Govil Deepak, Samavedam Srinivas, Srinivasan Shrikanth, Ramasubban Suresh, Venkataraman Ramesh, Pichamuthu Kishore, Jog Sameer Arvind, Divatia Jigeeshu V, Myatra Sheila Nainan

机构信息

Division of Critical Care Medicine, Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.

Institute of Critical Care and Anesthesia, Medanta - The Medicity, Gurugram, Haryana, India.

出版信息

Indian J Crit Care Med. 2022 Oct;26(Suppl 2):S66-S76. doi: 10.5005/jp-journals-10071-24301.

Abstract

UNLABELLED

Hemodynamic assessment along with continuous monitoring and appropriate therapy forms an integral part of management of critically ill patients with acute circulatory failure. In India, the infrastructure in ICUs varies from very basic facilities in smaller towns and semi-urban areas, to world-class, cutting-edge technology in corporate hospitals, in metropolitan cities. Surveys and studies from India suggest a wide variation in clinical practices due to possible lack of awareness, expertise, high costs, and lack of availability of advanced hemodynamic monitoring devices. We, therefore, on behalf of the Indian Society of Critical Care Medicine (ISCCM), formulated these evidence-based guidelines for optimal use of various hemodynamic monitoring modalities keeping in mind the resource-limited settings and the specific needs of our patients. When enough evidence was not forthcoming, we have made recommendations after achieving consensus amongst members. Careful integration of clinical assessment and critical information obtained from laboratory data and monitoring devices should help in improving outcomes of our patients.

HOW TO CITE THIS ARTICLE

Kulkarni AP, Govil D, Samavedam S, Srinivasan S, Ramasubban S, Venkataraman R, . ISCCM Guidelines for Hemodynamic Monitoring in the Critically Ill. Indian J Crit Care Med 2022;26(S2):S66-S76.

摘要

未标注

血流动力学评估以及持续监测和适当治疗是急性循环衰竭重症患者管理的重要组成部分。在印度,重症监护病房(ICU)的基础设施差异很大,从小城镇和半城市地区非常基础的设施,到大城市企业医院的世界级前沿技术。印度的调查和研究表明,由于可能缺乏认识、专业知识、成本高昂以及缺乏先进的血流动力学监测设备,临床实践存在很大差异。因此,我们代表印度重症医学学会(ISCCM),制定了这些基于证据的指南,以优化各种血流动力学监测方式的使用,同时考虑到资源有限的情况和我们患者的特殊需求。当没有足够的证据时,我们在成员之间达成共识后提出了建议。仔细整合临床评估以及从实验室数据和监测设备获得的关键信息,应有助于改善我们患者的治疗结果。

如何引用本文

库尔卡尼 AP、戈维尔 D、萨马韦丹 S、斯里尼瓦桑 S、拉马苏班 S、文卡塔拉曼 R 等。ISCCM 重症患者血流动力学监测指南。《印度重症医学杂志》2022 年;26(S2):S66 - S76。

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