关键词: acute kidney injury anesthesia blood pressure cardiac surgery critical care intensive care mortality vascular surgery

来  源:   DOI:10.1053/j.jvca.2024.04.010

Abstract:
Blood pressure is a critical physiological parameter, particularly in the context of cardiac intensive care and perioperative settings. As a primary indicator of organ perfusion, the maintenance of adequate blood pressure is imperative for the assurance of sufficient tissue oxygen delivery. Among critically ill and major surgery patients, the continuous monitoring of blood pressure is performed as a standard practice for patients. Nonetheless, uncertainties remain regarding blood pressure goals, and there is no consensus regarding blood pressure targets. This review describes the determinants of blood pressure, examine the influence of blood pressure on organ perfusion, and synthesize the current clinical evidence from various intensive care and perioperative settings to provide a concise guidance for daily clinical practice.
摘要:
血压是一个重要的生理参数,特别是在心脏重症监护和围手术期的背景下。作为器官灌注的主要指标,维持足够的血压对于确保足够的组织氧气输送至关重要。在危重和大手术患者中,连续监测血压是患者的标准做法.尽管如此,关于血压目标的不确定性仍然存在,关于血压目标没有共识。这篇综述描述了血压的决定因素,检查血压对器官灌注的影响,综合各种重症监护和围手术期设置的当前临床证据,为日常临床实践提供简明指导。
公众号