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智能监测,用得更好:血流动力学监测的未来。

Monitor smart, use better: the future of haemodynamic monitoring.

机构信息

Departamento de Medicina Intensiva, Intensive Care Unity - Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701 - Morumbi, São Paulo, SP, CEP: 05651-901, Brasil.

出版信息

J Clin Monit Comput. 2024 Dec;38(6):1437-1439. doi: 10.1007/s10877-024-01196-5. Epub 2024 Jul 20.

DOI:10.1007/s10877-024-01196-5
PMID:39031234
Abstract

The review article "Haemodynamic Monitoring During Noncardiac Surgery" offers valuable insights but lacks evidence linking specific haemodynamic strategies to improved outcomes. There's a need for standardized protocols, ongoing clinician education, and further validation of new technologies. Additionally, balancing the use of invasive versus noninvasive methods and addressing cost-effectiveness and sustainability are essential. Continued research and adaptive practices are crucial for optimizing perioperative care.

摘要

综述文章“非心脏手术期间的血流动力学监测”提供了有价值的见解,但缺乏将特定血流动力学策略与改善结果联系起来的证据。需要标准化方案、持续的临床医生教育以及对新技术的进一步验证。此外,平衡使用有创和无创方法以及解决成本效益和可持续性问题至关重要。持续的研究和适应性实践对于优化围手术期护理至关重要。

相似文献

1
Monitor smart, use better: the future of haemodynamic monitoring.智能监测,用得更好:血流动力学监测的未来。
J Clin Monit Comput. 2024 Dec;38(6):1437-1439. doi: 10.1007/s10877-024-01196-5. Epub 2024 Jul 20.
2
Shedding light on perioperative hemodynamic monitoring.揭示围手术期血流动力学监测的奥秘。
J Clin Monit Comput. 2020 Aug;34(4):621-624. doi: 10.1007/s10877-019-00386-w. Epub 2019 Sep 10.
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Perioperative medicine and the role of hemodynamic monitoring.围手术期医学与血流动力学监测的作用。
Rev Esp Anestesiol Reanim. 2017 Jun-Jul;64(6):301-305. doi: 10.1016/j.redar.2016.09.009. Epub 2016 Dec 9.
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Make my haemodynamic monitor GREEN: sustainable monitoring solutions.使我的血流动力学监测器变为绿色:可持续的监测解决方案。
Br J Anaesth. 2024 Dec;133(6):1367-1370. doi: 10.1016/j.bja.2024.03.008. Epub 2024 Apr 15.
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Intraoperative haemodynamic monitoring and management of adults having non-cardiac surgery: Guidelines of the German Society of Anaesthesiology and Intensive Care Medicine in collaboration with the German Association of the Scientific Medical Societies.成人非心脏手术术中血流动力学监测与管理:德国麻醉与重症监护医学学会与德国科学医学协会联合会指南。
J Clin Monit Comput. 2024 Oct;38(5):945-959. doi: 10.1007/s10877-024-01132-7. Epub 2024 Feb 21.
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Contemporary perioperative haemodynamic monitoring.当代围手术期血流动力学监测
Anaesthesiol Intensive Ther. 2019;51(2):147-158. doi: 10.5114/ait.2019.86279.
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Preface on advances in hemodynamic monitoring in perioperative medicine.围手术期医学血流动力学监测进展前言。
Best Pract Res Clin Anaesthesiol. 2019 Jun;33(2):125-126. doi: 10.1016/j.bpa.2019.09.001.
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Noninvasive Hemodynamic Monitors, What Is New and Old.非侵入性血流动力学监测仪:新与旧。
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Best practice & research clinical anaesthesiology: Advances in haemodynamic monitoring for the perioperative patient: Perioperative cardiac output monitoring.最佳实践与研究临床麻醉学:围手术期患者血流动力学监测的进展:围手术期心输出量监测。
Best Pract Res Clin Anaesthesiol. 2019 Jun;33(2):139-153. doi: 10.1016/j.bpa.2019.05.008. Epub 2019 Jul 22.
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Haemodynamic monitoring during noncardiac surgery: past, present, and future.非心脏手术期间的血流动力学监测:过去、现在和未来。
J Clin Monit Comput. 2024 Jun;38(3):565-580. doi: 10.1007/s10877-024-01161-2. Epub 2024 Apr 30.

本文引用的文献

1
Invasive and noninvasive cardiovascular monitoring options for cardiac surgery.心脏手术的有创和无创心血管监测方法
JTCVS Open. 2022 Apr 11;10:256-263. doi: 10.1016/j.xjon.2022.02.028. eCollection 2022 Jun.
2
What is new in hemodynamic monitoring and management?血流动力学监测与管理方面有哪些新进展?
J Clin Monit Comput. 2022 Apr;36(2):305-313. doi: 10.1007/s10877-022-00848-8. Epub 2022 Apr 8.
3
Accuracy of non-invasive and minimally invasive hemodynamic monitoring: where do we stand?非侵入性和微创血流动力学监测的准确性:我们目前的情况如何?
Ann Transl Med. 2019 Sep;7(17):421. doi: 10.21037/atm.2019.07.06.
4
Cost-effectiveness of a cardiac output-guided haemodynamic therapy algorithm in high-risk patients undergoing major gastrointestinal surgery.心输出量导向的血流动力学治疗算法在高危患者行大胃肠手术中的成本效益分析。
Perioper Med (Lond). 2015 Dec 14;4:13. doi: 10.1186/s13741-015-0024-x. eCollection 2015.