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Báo cáo khoa học: "Protocolized resuscitation with esophageal Doppler monitoring may improve outcome in post-cardiac surgery patients."

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Protocolized resuscitation with esophageal Doppler monitoring may improve outcome in post-cardiac surgery patients. | Available online at http ccforum.eom content 9 4 E7 Jjnnfr University of Pittsburgh In Department of Critical Care Medicine Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique Protocolized resuscitation with esophageal Doppler monitoring may improve outcome in post-cardiac surgery patients Mehrnaz Hadian1 and Derek C. Angus2 1 Clinical Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Professor CRISMA Laboratory Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 28 April 2005 This article is online at http ccforum.com content 9 4 E7 2005 BioMed Central Ltd Critical Care 9 E7 DOI 10.1186 cc3716 Expanded Abstract Citation McKendry M McGloin H Saberi D Caudwell L Brady AR Singer M Randomised controlled trial assessing the impact of a nurse delivered flow monitored protocol for optimisation of circulatory status after cardiac surgery. BMJ 2004 329 258-261 1 . Hypothesis Four hours of nurse-led flow-monitored protocolized resuscitation reduces complications and shortens stay in intensive care and hospital for post-operative cardiac surgery subjects compared to usual care. Methods Design Randomized controlled trial. Setting Intensive care unit and cardiothoracic unit of a university teaching hospital between April 2000 and January 2003. Subjects 174 adults who had cardiac surgery with cardiopulmonary bypass. Subjects undergoing off-pump surgery aged 18 years or with relative contraindications to the use of the esophageal Doppler probe such as esophageal disease were excluded. Subjects were also excluded postoperatively if on admission to intensive care there was excessive bleeding unstable arrhythmias a need for intra-aortic balloon counterpulsation or inotrope requirements 10 ụg kg min of dopamine or dobutamine or 0.16 ụg kg min of epinephrine or norepinephrine. .