护理重症成人先天性心脏病患者

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reports Pub Date : 2024-04-09 DOI:10.1007/s11886-024-02034-5

Thomas Das, Penelope Rampersad, Joanna Ghobrial

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引用次数: 0

摘要

最近的研究结果最近的研究结果表明，成人先天性心脏病（ACHD）患者在重症监护病房入院人数中的占比越来越高，而在拥有专门的成人先天性心脏病护理中心，他们的护理得到了极大的改善。入院的常见原因包括心律失常、出血、心力衰竭和肺部疾病。小结现代的重症监护医生不仅要了解 ACHD 患者的先天性解剖结构和后续修复，还要了解这种解剖结构如何使患者易患危重疾病，这一点至关重要。此外，重症监护医师在护理这些患者时应依靠包括 ACHD 专家在内的多学科团队。

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Caring for the Critically Ill Adult Congenital Heart Disease Patient

Purpose of Review

This review aims to discuss the unique challenges that adult congenital heart disease (ACHD) patients present in the intensive care unit.

Recent Findings

Recent studies suggest that ACHD patients make up an increasing number of ICU admissions, and that their care greatly improves in centers with specialized ACHD care. Common reasons for admission include arrhythmia, hemorrhage, heart failure, and pulmonary disease.

Summary

It is critical that the modern intensivist understand not only the congenital anatomy and subsequent repairs an ACHD patient has undergone, but also how that anatomy can predispose the patient to critical illness. Additionally, intensivists should rely on a multidisciplinary team, which includes an ACHD specialist, in the care of these patients.

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.