当前围手术期目标导向液体治疗常用动态参数和监测系统综述。

IF 2.5 3区工程技术 Q2 BIOLOGY Yale Journal of Biology and Medicine Pub Date : 2023-03-01 DOI:10.59249/JOAP6662

Chin Fung Kelvin Kan, John D Skaggs

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引用次数: 2

摘要

目标导向液体疗法(GDFT)通常推荐用于接受大手术的患者，并且在增强术后恢复(ERAS)方案中至关重要。这种液体疗法通常以动态血流动力学参数为指导，旨在优化患者的心输出量，最大限度地向重要器官输送氧气。虽然许多研究表明GDFT对围手术期患者有益，并可减少术后并发症，但对于使用哪种动态血流动力学参数指导GDFT尚无共识。此外，有许多商业化的血流动力学监测系统来测量这些动态血流动力学参数，每种都有其优点和缺点。本文将讨论和回顾常用的GDFT动态血流动力学参数和血流动力学监测系统。

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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Current Commonly Used Dynamic Parameters and Monitoring Systems for Perioperative Goal-Directed Fluid Therapy: A Review.

Goal-directed fluid therapy (GDFT) is usually recommended in patients undergoing major surgery and is essential in enhanced recovery after surgery (ERAS) protocols. This fluid regimen is usually guided by dynamic hemodynamic parameters and aims to optimize patients' cardiac output to maximize oxygen delivery to their vital organs. While many studies have shown that GDFT benefits patients perioperatively and can decrease postoperative complications, there is no consensus on which dynamic hemodynamic parameters to guide GDFT with. Furthermore, there are many commercialized hemodynamic monitoring systems to measure these dynamic hemodynamic parameters, and each has its pros and cons. This review will discuss and review the commonly used GDFT dynamic hemodynamic parameters and hemodynamic monitoring systems.

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来源期刊

Yale Journal of Biology and Medicine Biochemistry, Genetics and Molecular Biology-General Biochemistry,Genetics and Molecular Biology

CiteScore

5.00

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0.00%

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期刊介绍： The Yale Journal of Biology and Medicine (YJBM) is a graduate and medical student-run, peer-reviewed, open-access journal dedicated to the publication of original research articles, scientific reviews, articles on medical history, personal perspectives on medicine, policy analyses, case reports, and symposia related to biomedical matters. YJBM is published quarterly and aims to publish articles of interest to both physicians and scientists. YJBM is and has been an internationally distributed journal with a long history of landmark articles. Our contributors feature a notable list of philosophers, statesmen, scientists, and physicians, including Ernst Cassirer, Harvey Cushing, Rene Dubos, Edward Kennedy, Donald Seldin, and Jack Strominger. Our Editorial Board consists of students and faculty members from Yale School of Medicine and Yale University Graduate School of Arts & Sciences. All manuscripts submitted to YJBM are first evaluated on the basis of scientific quality, originality, appropriateness, contribution to the field, and style. Suitable manuscripts are then subject to rigorous, fair, and rapid peer review.