脉搏股静脉多普勒与充血性谵妄有何关系?:病例报告。

IF 0.5 A&A Practice Pub Date : 2022-10-01 DOI:10.1213/XAA.0000000000001627

Ali Hammoud, Elena Saade, Stéphanie Jarry, Sophie Baelen, Etienne J Couture, William Beaubien-Souligny, André Y Denault

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引用次数: 0

摘要

谵妄在心脏手术患者中很常见，静脉充血已被报道为一个重要的危险因素。我们报告了一位69岁的患者，他在主动脉瓣置换术后在重症监护病房发生了术后谵妄。术后伴有谵妄，门静脉、肾静脉及股静脉充血的超声征象及其消退与谵妄病程相关。使用股静脉多普勒作为一种简单的床边技术来预测和识别充血性谵妄以前尚未报道。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Pulsatile Femoral Vein Doppler and Congestive Delirium, What Is the Relationship?: A Case Report.

Delirium is common in patients undergoing cardiac surgery, and venous congestion has been reported as an important risk factor. We report a 69-year-old patient who developed postoperative delirium in the intensive care unit following aortic valve replacement surgery. The postoperative course was complicated by delirium for which echographic signs of venous congestion on the portal and the renal but also the femoral veins and their resolution correlated with the course of delirium. The use of common femoral vein Doppler as a simple bedside technique to predict and identify congestive delirium has not been reported before.

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.