Đánh giá hiệu quả kiểm soát huyết động của phương pháp truyền dịch theo đích dưới hướng dẫn của esCCO trong gây mê hồi sức bệnh nhân nặng=Evaluation of the effectiveness of hemodynamics control of targeted fluid perfusion for severe patients by esCCO

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Kim Dung Đào, Thị Nương Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.243-251

Bộ sưu tập: Metadata

ID: 477593

Thêm vào giỏ

Đánh giá ảnh hưởng trên các chỉ số mạch, huyết áp, cung lượng tim, thể tích tâm thu của phương pháp truyền dịch theo đích dưới hướng dẫn của esCCO trong gây mê và hồi sức bệnh nhân nặng. Phương pháp: Nghiên cứu mô tả cắt ngang. 30 bệnh nhân có chỉ định theo dõi huyết động xâm lấn trong mổ cho phẫu thuật có nguy cơ cao. Tiêu chí đánh giá là thay đổi về tần số tim, huyết áp trung bình, cung lượng tim và thể tích nhát bóp đo được bằng phương pháp esCCO (esCO, esCI, esSVI, tình trạng sử dụng thuốc vận mạch trong phẫu thuật, cân bằng dịch trong mổ, chỉ số lactat và một số chỉ số khí máu động mạch khác sau mổ. Kết quả: Cung lượng tim cao nhất ở giai đoạn trước gây mê, thấp nhất ở giai đoạn sau tiêm thuốc gây mê và dao động ổn định trung quá trình nghiên cứu. Thể tích nhát bóp thấp nhất ở giai đoạn sau tiêm thuốc gây mê, cao nhất ở giai đoạn kết thúc phẫu thuật. Lượng dịch truyền trong mổ trung bình 7.16 ± 1,96 (ml/kg/giờ). Kết luận: Có bằng chứng về ảnh hưởng trên các chỉ số mạch, huyết áp, cung lượng tim, thể tích tâm thu của phương pháp truyền dịch theo đích dưới hướng dẫn của esCCO trong gây mê và hồi sức bệnh nhân nặng, thể hiện qua các thời kỳ khởi mê, giai đoạn phẫu thuật, trong lượng dịch truyền, thể tích nước tiểu, thể tích nhát bóp, cung lượng tim, kết quả khí máu sau mổ.Evaluate the effects on pulse index, blood pressure, cardiac output, and systolic volume of targeted fluid infusion method under the guidance of esCOO in anesthesia and resuscitation of critically ill patients. Methods: Cross-sectional descriptive study. 30 patients had indications for invasive intraoperative hemodynamic monitoring for high-risk surgery. Evaluation criteria are changes in heart rate, average blood pressure, changes in hemodynamic parameters of cardiac output and stroke volume measured by the esCCO method (esCO, esCI, esSVI, use of vasopressors during surgery, intraoperative fluid balance, lactate index and some other arterial blood gas indices after surgery. Results: Cardiac output was highest in the pre-anesthesia period, lowest in the post-anesthesia period and fluctuated stably during the study period. Stroke volume (SV) is lowest in the period after anesthetic injection and highest at the end of surgery. The average amount of intraoperative fluid infusion was 7.16 ± 1.96 (ml/kg/hour). Conclusions: There is evidence of influence on the indices pulse, blood pressure, cardiac output, systolic volume of the targeted perfusion method under the guidance of esCCO in anesthesia for severe patients, shown through the induction period, surgical period, during fluid infusion volume, urine volume, stroke volume, cardiac output, and postoperative blood gas results.

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