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预测术中低血压:一份术中病例报告。

Predicting Intraoperative Hypotension: An Intraoperative Case Report.

机构信息

is the Assistant Program Director of the University of Alabama at Birmingham BSN-DNP Nurse Anesthesia Pathway, Birmingham, Alabama. Email:

is an Instructor and the Simulation Coordinator in the University of Alabama at Birmingham BSN-DNP Nurse Anesthesia Pathway, Birmingham, Alabama. Email:

出版信息

AANA J. 2024 Aug;92(4):288-293.

Abstract

Intraoperative hypotension (IOH) is a common issue associated with acute kidney injury, myocardial injury, stroke, and death. IOH may be avoided with the incorporation of newer advanced hemodynamic monitoring technologies. This case study examines the use of advanced hemodynamic monitoring with an early warning system for the intraoperative hemodynamic management of a patient presenting for pancreaticoduodenectomy. Incorporating the hypotension prediction index and other hemodynamic parameters to anticipate impending hypotension and treat potential causative factors is an emerging technological advancement. Understanding and embracing the potential for new advanced hemodynamic technology to reduce intraoperative hypotension's severity, duration, and occurrence is key to reducing negative patient outcomes.

摘要

术中低血压(IOH)是与急性肾损伤、心肌损伤、中风和死亡相关的常见问题。通过采用新的先进血流动力学监测技术,可以避免 IOH。本病例研究通过采用先进血流动力学监测和预警系统,对接受胰十二指肠切除术的患者进行术中血流动力学管理。结合低血压预测指数和其他血流动力学参数来预测即将发生的低血压并治疗潜在的病因是一项新兴的技术进步。理解并接受新的先进血流动力学技术的潜力,可以降低术中低血压的严重程度、持续时间和发生频率,从而降低患者的不良结局。

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