肺动脉高压和呼吸衰竭患者插管前的管理。

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-24 DOI:10.1007/s11886-024-02081-y

Alexander I Papolos, Benjamin B Kenigsberg, Daniel R Austin, Christopher F Barnett

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引用次数: 0

摘要

审查目的：对呼吸窘迫的肺动脉高压（PAH）患者进行气管插管是一项非常危险的操作，可能导致血流动力学衰竭。在此，我们回顾了应对这一临床难题的策略：目前还没有临床试验来探索治疗 PAH 和呼吸衰竭患者的最佳方法。在此，我们提供了一种实用的方法，用于 PAH 呼吸衰竭患者的呼吸支持、减压和肺血管扩张剂选择、血液动力学考虑因素、护理点超声监测和气管插管。

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Management of the peri-intubation period in patients with pulmonary arterial hypertension and respiratory failure.

Purpose of review: The endotracheal intubation of patients with pulmonary arterial hypertension (PAH) in respiratory distress is a highly morbid procedure that can precipitate hemodynamic collapse. Here we review our strategy for confronting this difficult clinical situation.

Recent findings: There are no clinical trials that explore best practices in the management of patients with PAH and respiratory failure. Here we provide a practical approach to respiratory support, inopressor and pulmonary vasodilator selection, hemodynamic considerations, point-of-care ultrasound monitoring, and endotracheal intubation in patients with PAH in respiratory failure.

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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.