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重症监护病房中的有创和无创监测

Invasive and non-invasive monitoring in the ICU.

作者信息

McEachron Kendall R, Costantini Todd W

机构信息

Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA.

出版信息

Trauma Surg Acute Care Open. 2025 Apr 14;10(Suppl 1):e001780. doi: 10.1136/tsaco-2025-001780. eCollection 2025.

Abstract

Effective invasive and non-invasive monitoring, when coupled with good clinical decision making, can improve outcomes for critically ill patients. When deciding on the best monitoring technique, it is important to consider the specific information that is needed to guide critical care management, while balancing the reliability of the data obtained and the risks of invasive monitor placement. Here, we review invasive and non-invasive options for hemodynamic and neurologic monitoring in the Surgical Intensive Care Unit. Understanding how each monitoring device functions, its indications, risks, and limitations is key when deciding how to monitor bedside physiologic data that guide clinical decision making. Level of evidence: Level IV.

摘要

有效的侵入性和非侵入性监测,若与良好的临床决策相结合,可改善重症患者的治疗结果。在决定最佳监测技术时,重要的是要考虑指导重症监护管理所需的特定信息,同时平衡所获数据的可靠性和侵入性监测设备放置的风险。在此,我们回顾了外科重症监护病房中血流动力学和神经学监测的侵入性和非侵入性选择。在决定如何监测指导临床决策的床边生理数据时,了解每个监测设备的功能、其适应证、风险和局限性是关键。证据级别:四级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ee/12094120/11b6199b87ac/tsaco-10-Suppl-1-g001.jpg

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