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减轻术中低血压:近期进展综述

Mitigating Intraoperative Hypotension: A Review and Update on Recent Advances.

机构信息

Department of Anesthesiology, Wayne State University School of Medicine, 42 West Warren Avenue, Detroit, MI 48201, USA; NorthStar Anesthesia, 6255 State Highway 161 #200, Irving, TX 75038, USA; Outcomes Research Consortium, Cleveland, OH, USA.

NorthStar Anesthesia, 6255 State Highway 161 #200, Irving, TX 75038, USA.

出版信息

Adv Anesth. 2024 Dec;42(1):67-84. doi: 10.1016/j.aan.2024.07.006. Epub 2024 Aug 28.

Abstract

Intraoperative hypotension (IOH) is a common occurrence during anesthesia administration for various surgical procedures and is linked to postoperative adverse outcomes. Factors contributing to IOH include hypovolemia, vasodilation, and impaired contractility, often combined with patient comorbidities. Strategies for mitigating IOH have been developed and are continually being updated with new research and technological advancements. These strategies include personalized blood pressure thresholds, pharmacologic measures, and the use of predictive tools. However, the management of IOH also requires careful consideration of patient-specific comorbidities and the use of appropriate treatment options.

摘要

术中低血压(IOH)是各种手术麻醉过程中常见的现象,与术后不良结局有关。导致 IOH 的因素包括血容量不足、血管扩张和收缩功能受损,通常与患者合并症有关。已经制定了减轻 IOH 的策略,并随着新的研究和技术进步不断更新。这些策略包括个性化血压阈值、药物措施和使用预测工具。然而,IOH 的管理还需要仔细考虑患者的具体合并症,并使用适当的治疗选择。

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