Passos Rogerio Da Hora, Pereira Silva Luciano Ribeiro, Urbano Andari Leonardo Van De Wiel Barros, Flato Uri Adrian Prync, Assunção Murillo Santucci Cesar, Corrêa Thiago Domingos
Intensive Care Department, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701 - Morumbi, São Paulo, CEP: 05651-901, SP, Brasil.
Ann Intensive Care. 2025 Jan 3;15(1):1. doi: 10.1186/s13613-024-01416-w.
Sheldon Magder's article on applying Arthur Guyton's principles to clinical fluid management provides valuable insights into optimizing hemodynamics in critically ill patients. While emphasizing the role of right atrial pressure (RAP) in assessing cardiac output, challenges arise due to RAP's variable accuracy and the oversimplification of cardiovascular dynamics. Integrating RAP with dynamic assessments and bedside ultrasound can enhance fluid management strategies. Future research should aim to improve RAP's predictive accuracy and validate its clinical utility for individualized patient care.
谢尔顿·马格德关于将亚瑟·盖顿的原理应用于临床液体管理的文章，为优化重症患者的血流动力学提供了宝贵的见解。在强调右心房压力（RAP）在评估心输出量中的作用时，由于RAP准确性的变化以及心血管动力学的过度简化，出现了一些挑战。将RAP与动态评估和床边超声相结合，可以增强液体管理策略。未来的研究应旨在提高RAP的预测准确性，并验证其在个体化患者护理中的临床效用。
