Urban N
AACN Clin Issues Crit Care Nurs. 1993 Feb;4(1):161-79.
Hemodynamic profiling has become common practice in critical care units. While the ability to monitor, measure, and calculate the many parameters related to cardiac output is a valuable adjunct in the care of the critically ill, it cannot be used as a substitute for sound clinical assessment. The ability to integrate the hemodynamic profile with clinical assessment is necessary if patients are to receive comprehensive critical care. In addition, assessment frameworks such as Forrester's subsets of hemodynamic compromise provide clinically useful guidance in the diagnosis and treatment of a variety of clinical challenges.
血流动力学分析已成为重症监护病房的常规操作。虽然监测、测量和计算与心输出量相关的众多参数的能力在重症患者的护理中是一项有价值的辅助手段,但它不能替代完善的临床评估。如果患者要接受全面的重症护理,将血流动力学资料与临床评估相结合的能力是必要的。此外,诸如福雷斯特血流动力学受损亚组等评估框架为各种临床挑战的诊断和治疗提供了具有临床实用价值的指导。