Cập nhật theo dõi và đánh giá huyết động sau mổ
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Abstract
Bên cạnh giúp xác định các chỉ số tiền gánh và sức co bóp, siêu âm tim còn giúp đánh giá chức năng các van tim, giúp phát hiện những bất thường vận động thành cơ tim, các nguyên nhân do thuyên tắc, chèn ép từ xung quanh tim làm ảnh hưởng huyết động (tràn dịch màng tim, viêm màng ngoài tim co thắt), cũng như giúp người thầy thuốc xác định được hiệu suất của thất trái. Với những lý do này, siêu âm tim rất được khuyến cáo trong những trường hợp huyết động không ổn định và chưa biết được căn nguyên hoặc chưa tìm ra được hướng điều trị chuẩn để khắc phục tình trạng huyết động không ổn định.
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References
1. Bailey, J.M. Relationship between clinical evaluation of peripheral perfusion and global hemodynamics in adults after cardiac surgery. Crit Care Med 18, 1353 (2010).
2. Benson, M.J.A. et al. The echocardiographic assessment of left ventricular function. In: Ventricular Function. Edited by Waltier DC. Baltimore, Williams and Wilkins 253 (2005).5
3. Drummond, J.C. The lower limit of autoregulation: Time to reverse our thinking? Anesthesiology 86, 1431 (2007).
4. Hanson, R.M. et al. Poor correlation between pulmonary arterial wedge pressure and left ventricular end-diastolic volume after coronary artery bypass graft surgery. Anesthesiology 64, 764 (2006).
5. Harpole, D.H. et al. Right and left ventricular performance during and after abdominal aortic aneurysm repair. Ann Surg 209, 356 (2009).
6. Mills, L.C. et al. Effects of various sympathetic drugs on renal hemodynamics in normotensive and hypotensive dogs. Am J Physiol 198, 1279 (2010).
7. Mohr, R. et al. Inaccuracy of radial artery pressure measurement after cardiac operations. J Thorac Cardiovasc Surg 94, 286 (2007).
8. O’Brien, E.R.M. Coronary physiology and atherosclerosis. Cardiac Anesthesia 4th Ed. Edited by Kaplan JA. Philadelphia, WB Saunders 241 (2009).
9. Rashkin, M.C. et al. Oxygen delivery in critically ill patients. Relationship to blood lactate and survival. Chest 5, 580 (2005).
10. Rivers, E. et al. Early goal directed therapy in the treatment of severe sepsis and septic shock. N Eng J Med 345, 1368-1377 (2011).
11. Rowell, L.B. et al. Importance of the splanchnic vascular bed in human blood pressure regulation. J Appl Physiol 32, 213 (2012).
12. Urbanowicz, J.H. et al. Comparison of transesophageal echocardiographic and scintigraphic estimates of left ventricular end-diastolic volume index and ejection fraction in patients following coronary artery bypass grafting. Anesthesiology 72, 607 (2010).
2. Benson, M.J.A. et al. The echocardiographic assessment of left ventricular function. In: Ventricular Function. Edited by Waltier DC. Baltimore, Williams and Wilkins 253 (2005).5
3. Drummond, J.C. The lower limit of autoregulation: Time to reverse our thinking? Anesthesiology 86, 1431 (2007).
4. Hanson, R.M. et al. Poor correlation between pulmonary arterial wedge pressure and left ventricular end-diastolic volume after coronary artery bypass graft surgery. Anesthesiology 64, 764 (2006).
5. Harpole, D.H. et al. Right and left ventricular performance during and after abdominal aortic aneurysm repair. Ann Surg 209, 356 (2009).
6. Mills, L.C. et al. Effects of various sympathetic drugs on renal hemodynamics in normotensive and hypotensive dogs. Am J Physiol 198, 1279 (2010).
7. Mohr, R. et al. Inaccuracy of radial artery pressure measurement after cardiac operations. J Thorac Cardiovasc Surg 94, 286 (2007).
8. O’Brien, E.R.M. Coronary physiology and atherosclerosis. Cardiac Anesthesia 4th Ed. Edited by Kaplan JA. Philadelphia, WB Saunders 241 (2009).
9. Rashkin, M.C. et al. Oxygen delivery in critically ill patients. Relationship to blood lactate and survival. Chest 5, 580 (2005).
10. Rivers, E. et al. Early goal directed therapy in the treatment of severe sepsis and septic shock. N Eng J Med 345, 1368-1377 (2011).
11. Rowell, L.B. et al. Importance of the splanchnic vascular bed in human blood pressure regulation. J Appl Physiol 32, 213 (2012).
12. Urbanowicz, J.H. et al. Comparison of transesophageal echocardiographic and scintigraphic estimates of left ventricular end-diastolic volume index and ejection fraction in patients following coronary artery bypass grafting. Anesthesiology 72, 607 (2010).