医学
心输出量
变向性
血流动力学
心脏外科
循环系统
心脏病学
心脏病
心脏指数
心力衰竭
内科学
重症监护医学
麻醉
作者
Heather K. Chandler,Roxanne Kirsch
出处
期刊:Current Cardiology Reviews
[Bentham Science]
日期:2016-04-04
卷期号:12 (2): 107-111
被引量:34
标识
DOI:10.2174/1573403x12666151119164647
摘要
The purpose of this review is to discuss the management of the low cardiac output syndrome (LCOS) following surgery for congenital heart disease. The LCOS is a well-recognized, frequent post-operative complication with an accepted collection of hemodynamic and physiologic aberrations. Approximately 25% of children experience a decrease in cardiac index of less than 2 L/min/m2 within 6-18 hours after cardiac surgery. Post-operative strategies that may be used to manage patients as risk for or in a state of low cardiac output include the use of hemodynamic monitoring, enabling a timely and accurate assessment of cardiovascular function and tissue oxygenation; optimization of ventricular loading conditions; the judicious use of inotropic agents; an appreciation of and the utilization of positive pressure ventilation for circulatory support; and, in some circumstances, mechanical circulatory support. All interventions and strategies should culminate in improving the relationship between oxygen supply and demand, ensuring adequate tissue oxygenation. Keywords: Acute kidney injury, heart failure, hemodynamic monitoring, low cardiac output, mechanical circulatory devices, Pediatrics, vasoactive therapies.
科研通智能强力驱动
Strongly Powered by AbleSci AI