Chapter 3534 [3534] I have never heard of it
an arterial pressure is affected by factors such as drugs. If the an arterial pressure is raised by drugs, it ans that false positives are aningless. This corresponds to what Xie said before we should take drug tests carefully before weaning off the machine.
How to do the specific operation, in fact, has already started to do it.
Did you do it?
Director Wang and the others at the scene were startled. It seed that there was no special dicine given to the patient by Mr. Xie.
I want to talk about one more question. Significance of an arterial pressure monitoring Human perfusion is closely related to cardiac output of the heart. Cardiac output can be asured with picco technology, but transesophageal echocardiography can be used without picco technology.
Xie Wanying said: "We just asured the heart condition supported by the full flow of the mbrane lung, mainly asuring the left ventricular ejection fraction and the function and volu of the right ventricle."
Since the doctors are now gathering for a eting to discuss the issue of weaning the machine, it is equivalent to saying that the values detected by the test are very good.
The next thing to do is, Xie Wanying continued to add: "Gradually reduce the flow rate of the patient to one-half, and do the above examination with transesophageal echocardiography in the middle. Full flow."
It turns out that this is the case, this step of weaning off the machine is really very cautious. All the doctors here are brushing and brushing, and no one thinks that the steps are cumberso. dicine is never afraid of cumberso links. The more cumberso it is, the more careful research is in place, and the more it seems that things are under the control of doctors.
When Mr. Zhang picked up the steel notebook, his thick eyebrows and big eyes glanced at the uninvited guests at the eting with displeasure.
Said that the Xia acting director of the ICU of the National Association of China was so shaless that he ca to the eting every day and forget it. Why, the people from company m who I t only once yesterday ca to listen to their eting.
Can Mai Hui, a **** who speaks bad Chinese, really understand Teacher Xie's lectures? It turned out that they actually brought an on-site interpreter to help him translate simultaneously, which was absolutely amazing.
Zhang Huayao's eyebrows were almost wrinkled into two towering mountains.
The thick-skinned person must have pretended not to see his big brother's expression, and continued to listen to the class with other doctors present.
Mai Hui has never heard of the plan Xie ntioned, and it is a plan for the future.
"When the flow rate is reduced to twelve to fifteen and the vis index is less than ten, carry out the capacity load test."
vis index is the score of vasoactive drugs and inotropic drugs. It is calculated by a complicated formula, which is the sum of various drugs multiplied by the dose. From the overview of this simple formula, it can be inferred that the lower the vis index is or even equal to zero, the best, which is equivalent to not giving the patient these drugs to support the patient's blood pressure.
Judging the patient's heart under such a premise tends to be able to truly judge the original function of the patient's own heart without assistance, which will help the doctor determine whether the patient can continue to be weaned.
Volu loading test is to give the patient a certain amount of fluid for a certain period of ti, and the purpose is to increase the blood volu to judge the response of the heart. Here is a drop of albumin. The doctor wants to add so difficult questions to the patient before weaning off the machine to further test the patient's heart. At this ti, the cardiac function indicators ntioned before must be checked again with transesophageal echocardiography.
Finally, use dobutamine for a few hours before observing the heart function. If the heart values remain stable, you can stop the machine for testing, and it is safe to enter the formal weaning process.
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