儿科神经危重症中的即时床旁心脏超声：病例系列。
Cardiac Point-of-Care Ultrasound in Pediatric Neurocritical Care: A Case Series.
机构信息
Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
出版信息
Pediatr Neurol. 2023 Jul;144:56-59. doi: 10.1016/j.pediatrneurol.2023.03.017. Epub 2023 Apr 4.
BACKGROUND
Pediatric brain injury is accompanied by hemodynamic perturbations complicating the optimization of cerebral physiology. Point-of-care ultrasound (POCUS) uses dynamic real-time imaging to complement the physical examination and identify hemodynamic abnormalities in preload, contractility, and afterload conditions, but the contribution of cardiac POCUS in the context of pediatric brain injury is unclear.
METHODS
We reviewed cardiac POCUS images integrated in clinical care to examine those with neurological injury and hemodynamic abnormalities.
RESULTS
We discuss three children with acute brain injury and myocardial dysfunction identified using cardiac POCUS by bedside clinicians.
CONCLUSIONS
Cardiac POCUS may have an important role in caring for children with neurologic injury. These patients received personalized care informed by POCUS data in attempts to stabilize hemodynamics and optimize clinical outcomes.
背景
儿科脑损伤伴有血流动力学紊乱，使脑生理学的优化变得复杂。即时护理超声（POCUS）使用动态实时成像来补充体格检查，并识别前负荷、收缩力和后负荷条件下的血流动力学异常，但在儿科脑损伤的情况下，心脏 POCUS 的作用尚不清楚。
方法
我们回顾了整合在临床护理中的心脏 POCUS 图像，以检查那些有神经损伤和血流动力学异常的患者。
结果
我们讨论了三位因急性脑损伤而出现心肌功能障碍的患儿，床边临床医生通过心脏 POCUS 对其进行了检查。
结论
心脏 POCUS 在照顾有神经损伤的儿童方面可能具有重要作用。这些患者接受了基于 POCUS 数据的个性化护理，以试图稳定血流动力学并优化临床结局。
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