• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

使用SAFE - A方案对血液透析前后患者进行超声检查的结果。

Sonographic findings using the SAFE-A protocol in pre- and post-hemodialysis patients.

作者信息

Rabahi Matheus, Polito Maria Goretti, Takaoka Larissa Louise Cândida Pereira, Conte Marcus Barreto, Colares Philippe Figueiredo Braga

机构信息

Departamento de Medicina Interna, Hospital Estadual Alberto Rassi, Goiânia, GO, Brazil.

Departamento de Nefrologia, Hospital Estadual Alberto Rassi, Goiânia, GO, Brazil.

出版信息

Ultrasound J. 2024 Aug 27;16(1):41. doi: 10.1186/s13089-024-00390-5.

DOI:10.1186/s13089-024-00390-5
PMID:39190180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11349959/
Abstract

BACKGROUND

Accurate assessment of relative intravascular volume is one of the cornerstones for the proper management of hospitalized patients requiring hemodialysis. Currently, the use of dynamic parameters such as bedside ultrasonography is recommended to support the assessment of the intravascular volume profile. This study aimed to prospectively evaluate findings of sonographic assessment of intravascular volume estimate (SAFE-A) protocol among hemodialysis inpatients with end-stage renal disease, before and after the hemodialysis sessions, and correlate these findings with the net ultrafiltrate (UFNET).

RESULTS

A positive correlation was found between the negative variation of 1 point in the score of the SAFE-A protocol with the withdrawal of 426.73 mL of net ultrafiltrate.

CONCLUSIONS

There was a strong correlation between the score of the SAFE-A protocol and the net ultrafiltrate. Therefore, this study concludes that the application of the SAFE-A protocol in dialysis patients demonstrates a correlation between the suggested score and volume status, consistent with findings from the original study conducted in a distinct population.

摘要

背景

准确评估血管内容量是妥善管理需要血液透析的住院患者的基石之一。目前，建议使用动态参数，如床边超声检查，以辅助评估血管内容量状况。本研究旨在前瞻性评估终末期肾病血液透析住院患者在血液透析治疗前后血管内容量估计超声评估（SAFE - A）方案的结果，并将这些结果与净超滤量（UFNET）相关联。

结果

SAFE - A方案评分中1分的负向变化与426.73 mL净超滤量的减少之间存在正相关。

结论

SAFE - A方案评分与净超滤量之间存在强相关性。因此，本研究得出结论，SAFE - A方案在透析患者中的应用表明建议评分与容量状态之间存在相关性，这与在不同人群中进行的原始研究结果一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e4/11349959/2a9d40f5d8d2/13089_2024_390_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e4/11349959/62fc239b38ad/13089_2024_390_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e4/11349959/40107f3f8389/13089_2024_390_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e4/11349959/2a9d40f5d8d2/13089_2024_390_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e4/11349959/62fc239b38ad/13089_2024_390_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e4/11349959/40107f3f8389/13089_2024_390_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e4/11349959/2a9d40f5d8d2/13089_2024_390_Fig3_HTML.jpg

相似文献

1
Sonographic findings using the SAFE-A protocol in pre- and post-hemodialysis patients.使用SAFE - A方案对血液透析前后患者进行超声检查的结果。
Ultrasound J. 2024 Aug 27;16(1):41. doi: 10.1186/s13089-024-00390-5.
2
Use of Point-of-Care Ultrasound for Evaluation of Extravascular and Intravascular Fluid Status in Pediatric Patients Maintained on Chronic Hemodialysis.应用床旁超声评估慢性血液透析患儿的血管外和血管内液体状态。
Blood Purif. 2022;51(4):321-327. doi: 10.1159/000517365. Epub 2021 Jul 14.
3
Venous excess ultrasonography (VExUS) captures dynamic changes in volume status surrounding hemodialysis: A multicenter prospective observational study.静脉过度超声检查（VExUS）捕捉血液透析周围容量状态的动态变化：一项多中心前瞻性观察研究。
Res Sq. 2024 Apr 8:rs.3.rs-4185584. doi: 10.21203/rs.3.rs-4185584/v1.
4
Temporal Changes in Electrolytes, Acid-Base, QTc Duration, and Point-of-Care Ultrasound during Inpatient Hemodialysis Sessions.住院血液透析期间电解质、酸碱平衡、QTc 间期和即时超声的时间变化。
Kidney360. 2022 May 10;3(7):1217-1227. doi: 10.34067/KID.0001652022. eCollection 2022 Jul 28.
5
Role of Lung Ultrasound in Adjusting Ultrafiltration Volume in Hemodialysis Patients.肺部超声在调整血液透析患者超滤量中的作用。
Ultrasound Med Biol. 2019 Mar;45(3):732-740. doi: 10.1016/j.ultrasmedbio.2018.10.025. Epub 2018 Dec 14.
6
Relationship of inferior vena cava collapsibility to ultrafiltration volume achieved in critically ill hemodialysis patients.重症血液透析患者下腔静脉可塌陷性与超滤量的关系。
Int J Nephrol Renovasc Dis. 2018 Jul 23;11:195-209. doi: 10.2147/IJNRD.S165744. eCollection 2018.
7
Regional citrate anticoagulation in hemodialysis: an observational study of safety, efficacy, and effect on calcium balance during routine care.血液透析中的局部枸橼酸盐抗凝：一项关于常规护理期间安全性、有效性及对钙平衡影响的观察性研究。
Can J Kidney Health Dis. 2016 Apr 20;3:22. doi: 10.1186/s40697-016-0113-x. eCollection 2016.
8
Changes in cardiac output with hemodialysis relate to net volume balance and to inferior vena cava ultrasound collapsibility in critically ill patients.血液透析时心输出量的变化与危重患者的净容量平衡和下腔静脉超声可塌陷性有关。
Ren Fail. 2020 Nov;42(1):179-192. doi: 10.1080/0886022X.2020.1726384.
9
Point-of-Care Ultrasonography for Objective Volume Management in End-Stage Renal Disease.即时床旁超声在终末期肾病容量管理中的应用。
Blood Purif. 2020;49(1-2):132-136. doi: 10.1159/000503000. Epub 2019 Oct 9.
10
Carotid Artery Flow Time Measured by Point-of-Care Ultrasound Correlates with Volume Changes in Pediatric Hemodialysis Patients.床边超声测量的颈总动脉血流时间与儿科血液透析患者的容量变化相关。
Ultrasound Med Biol. 2020 Jul;46(7):1670-1676. doi: 10.1016/j.ultrasmedbio.2020.03.034. Epub 2020 May 6.

本文引用的文献

1
Lung ultrasound-guided dry-weight reduction and echocardiographic changes in clinically euvolemic hypertensive hemodialysis patients: 12-month results of a randomized controlled trial.肺超声引导下的干体重减轻和临床血容量正常的高血压血液透析患者的超声心动图变化：一项随机对照试验的 12 个月结果。
Hellenic J Cardiol. 2022 Mar-Apr;64:1-6. doi: 10.1016/j.hjc.2021.11.002. Epub 2021 Nov 29.
2
Ambulatory blood pressure changes with lung ultrasound-guided dry-weight reduction in hypertensive hemodialysis patients: 12-month results of a randomized controlled trial.高血压血液透析患者肺超声指导下干体重减轻对动态血压的影响：一项随机对照试验的 12 个月结果。
J Hypertens. 2021 Jul 1;39(7):1444-1452. doi: 10.1097/HJH.0000000000002818.
3
Sonographic Assessment of Intravascular Fluid Estimate (SAFE) Score by Using Bedside Ultrasound in the Intensive Care Unit.
在重症监护病房使用床旁超声对血管内液体估计（SAFE）评分进行超声评估。
Crit Care Res Pract. 2020 Feb 24;2020:9719751. doi: 10.1155/2020/9719751. eCollection 2020.
4
Use of ultrasound-measured internal jugular vein collapsibility index to determine static intracardiac pressures in patients with presumed pulmonary hypertension.利用超声测量颈内静脉塌陷指数来确定疑似肺动脉高压患者的静态心内压。
Ann Intensive Care. 2019 Oct 28;9(1):124. doi: 10.1186/s13613-019-0595-7.
5
Correlation of IVC Diameter and Collapsibility Index With Central Venous Pressure in the Assessment of Intravascular Volume in Critically Ill Patients.在危重症患者血管内容量评估中，下腔静脉直径和塌陷指数与中心静脉压的相关性
Cureus. 2017 Feb 12;9(2):e1025. doi: 10.7759/cureus.1025.
6
Focused Real-Time Ultrasonography for Nephrologists.面向肾脏病学家的聚焦实时超声检查
Int J Nephrol. 2017;2017:3756857. doi: 10.1155/2017/3756857. Epub 2017 Feb 2.
7
Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids?这位血流动力学不稳定的患者会对静脉推注液体有反应吗？
JAMA. 2016 Sep 27;316(12):1298-309. doi: 10.1001/jama.2016.12310.
8
The Agreement between Auscultation and Lung Ultrasound in Hemodialysis Patients: The LUST Study.血液透析患者听诊与肺部超声检查的一致性：LUST研究
Clin J Am Soc Nephrol. 2016 Nov 7;11(11):2005-2011. doi: 10.2215/CJN.03890416. Epub 2016 Sep 22.
9
Sonographic evaluation of intravascular volume status: Can internal jugular or femoral vein collapsibility be used in the absence of IVC visualization?超声评估血管内容量状态：在无法观察 IVC 的情况下，是否可以使用颈内静脉或股静脉塌陷来评估？
Ann Thorac Med. 2015 Jan-Mar;10(1):44-9. doi: 10.4103/1817-1737.146872.
10
Limited echocardiography-guided therapy in subacute shock is associated with change in management and improved outcomes.亚急性休克中有限的超声心动图引导治疗与管理方式的改变及改善的预后相关。
J Crit Care. 2014 Oct;29(5):700-5. doi: 10.1016/j.jcrc.2014.04.008. Epub 2014 Apr 26.