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非侵入性血流动力学监测仪:新与旧。

Noninvasive Hemodynamic Monitors, What Is New and Old.

机构信息

Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.

Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA.

出版信息

Adv Anesth. 2024 Dec;42(1):151-170. doi: 10.1016/j.aan.2024.07.011. Epub 2024 Aug 28.

DOI:10.1016/j.aan.2024.07.011
PMID:39443047
Abstract

This article reviews the evolution of noninvasive hemodynamic monitoring technologies, highlighting their importance in perioperative and critical care settings. Initially dominated by invasive methods, the field has shifted toward noninvasive techniques to reduce risks and improve patient safety. These advancements encompass various technologies, including bioimpedance/bioreactance, pulse contour analysis, and photoplethysmography, offering anesthesiologists dynamic tools for patient management. The article explores historical developments, traditional and advanced noninvasive monitors, and future trends, emphasizing the potential of integrating artificial intelligence and wearable technology in patient care.

摘要

本文回顾了非侵入性血流动力学监测技术的演变,强调了它们在围手术期和重症监护环境中的重要性。最初以有创方法为主导,该领域已转向非侵入性技术,以降低风险并提高患者安全性。这些进展涵盖了各种技术,包括生物阻抗/生物电抗、脉搏轮廓分析和光电容积脉搏波描记法,为麻醉师提供了用于患者管理的动态工具。文章探讨了历史发展、传统和先进的非侵入性监测器以及未来趋势,强调了在患者护理中整合人工智能和可穿戴技术的潜力。

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