I-CSWG App iyithuluzi eliphelele elinezingxenye ezihlukene futhi lihlinzeka ngezibalo ezibalulekile ukusiza ekuthathweni kwezinqumo zomtholampilo.
Ingxenye 1: Isibali Sesiteji Se-Cardiogenic Shock Working
Ikhasi lokuqala lohlelo lokusebenza liqukethe I-Cardiogenic Shock Working Group Shock Stage Calculator. Lesi sibali sisebenzisa isistimu yokuhlukanisa isigaba sokushaqeka se-CSWG-SCAI ukuze sinqume ubukhali bokushaqeka kwenhliziyo. Ihlinzeka ngokuhlolwa okunembile kwesigaba sokushaqeka, kanye nezinga lokufa elibikezelwe lesigaba ngasinye.
Ukwengeza, umshini wokubala uveza izibikezelo zokufa ezihlukene ze-myocardial infarction-related cardiogenic shock (MI-CS) kanye nokushaqeka kwenhliziyo okuhlobene nokuhluleka kwenhliziyo (HF-CS). Ngaphezu kwalokho, inikeza amathuba abikezelwe okukhuphuka kwesiteji.
Ingxenye 2: Isibali Se-Hemodynamics Esingenayo
Ikhasi lesibili lohlelo lokusebenza ligcina i-Invasive Hemodynamics Calculator. Leli thuluzi elinamandla lenza ochwepheshe bezempilo bakwazi ukubala imingcele ehlukahlukene ebalulekile ehlobene ne-hemodynamics. Ngalesi sibali, abasebenzisi bangakwazi ukunquma imingcele efana nokuphuma kwenhliziyo besebenzisa indlela ye-Fick, inkomba yenhliziyo, amandla okukhipha inhliziyo, inkomba yamandla enhliziyo, umfutho wokushaya kwenhliziyo, inkomba ye-aortic pulsatility, i-systemic vascular resistance, i-pulmonary artery pressure, umfutho we-atrial wangakwesokudla/ i-pulmonary capillary. ingcindezi ye-wedge, inkomba ye-pulmonary artery pulsatility index, inkomba yomsebenzi we-ventricular stroke yesokudla, i-transpulmonary gradient, kanye ne-diastolic pulmonary gradient. Ukwengeza, isibali sikhiqiza igrafu ehlela ukucindezela kwenhliziyo kwesokunxele (PCP) kanye nengcindezi yokugcwalisa inhliziyo yesokudla (i-CVP noma i-RAP) ukusiza ekuhlukaniseni amapharamitha ngezigaba ezifana ne-"LV congestion," "RV congestion," "Hypovolemic, " kanye "ne-BiV Congestion."
Ingxenye 3: I-Congestion Profile Tracker
Hlela ingcindezi yokugcwalisa inhliziyo yesokunxele (PCWP) kanye nengcindezi yokugcwalisa inhliziyo yesokudla (CVP noma i-RAP) ukuze usize ekuhlukaniseni amapharamitha abe yizigaba ezifana ne-"LV congestion,"
"Ukuminyana kwe-RV," "Euvolemic," kanye "ne-BiV Congestion." Hlela amaphuzu ngobude ukuze ubone amathrendi ngokuhamba kwesikhathi.
Ingxenye 4: I-CSWG-SCAI I-Shock Phenotype Calculator
Ingxenye yokugcina yohlelo lokusebenza i-CSWG-SCAI Shock Phenotype Calculator. Lesi sibali siklanyelwe ukunquma i-phenotype yokushaqeka ngokusekelwe ezicini ezithile kanye nezinkomba zomtholampilo. Ihlukanisa i-shock phenotype ibe yizigaba ezintathu: i-phenotype I (engaminyene), i-phenotype II (i-cardio-renal), ne-phenotype III (i-cardio-metabolic). Ukwengeza, umshini wokubala uhlinzeka ngezinga lokufa elibikezelwe esibhedlela nge-phenotype ngayinye, ukusiza odokotela ekuhlukaniseni ingozi nokuhlela ukwelashwa.
Uhlelo lokusebenza lwe-CSWG luhlanganisa izibali ezibalulekile namandla okuqagela esixhumi esibonakalayo esisebenziseka kalula, lunikeza isisetshenziswa esibalulekile sochwepheshe bezempilo abahililekile ekulawuleni ukushaqeka kwenhliziyo. Ngokulungiselela ukuhlolwa okunembile, ukuhlinzeka ngemininingwane ye-hemodynamic, nokusiza ekunqumeni ama-phenotypes okwethuka, lolu hlelo lokusebenza luhlose ukuthuthukisa ukunakekelwa kwesiguli kanye nemiphumela esimweni esiyinselele sokushaqeka kwe-cardiogenic. Sicela uqaphele ukuthi lolu hlelo lokusebenza lunikeza kuphela idatha eshicilelwe ezincwadini futhi akufanele luthathe indawo yokwenza izinqumo zomtholampilo. Udokotela/ithimba elelaphayo kufanele lisebenzise ukwahlulela nolwazi lwalo ekuthatheni izinqumo zomtholampilo.
Kubuyekezwe ngo-
Okt 15, 2024