Summary of optimal evidences for early fluid resuscitation management in patients with acute pancreatitis
10.3969/j.issn.1671-8348.2024.01.023
- VernacularTitle:急性胰腺炎患者早期液体复苏管理的最佳证据总结
- Author:
Li LI
1
;
Liqun ZHU
;
Wenhua ZHANG
;
Yingfeng ZHOU
;
Lei BAO
;
Guofu SUN
;
Yuanyuan MI
;
Liping YANG
;
Leiyuan ZHONG
;
Wei ZHANG
Author Information
1. 江苏大学附属医院消化科,江苏镇江,212001
- Keywords:
acute pancreatitis;
fluid resuscitation;
evidence summary;
evidence-based nursing
- From:
Chongqing Medicine
2024;53(1):114-120
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically retrieve,evaluate and integrate the best evidences on the early fluid resuscitation management in the patients with acute pancreatitis(AP)at home and abroad to provide ref-erence for clinical decision.Methods The related evidences on the early fluid resuscitation management in the AP patients were retrieved by computer from the databases of BMJ Best Practice,Up To Date,JBI,National Institute for Health and Care Excellence,Registered Nurses Association of Ontario,Guideline International Network,Scottish Intercollegiate Guidelines Network,International Association of Pancreatology,American Pancreatic Association,American College of Gastroenterology,Yimaitong,Cochrane Library,PubMed,Em-bass,CINAHL,The Web of Science,CNKI,Wanfang databases.The retrieval time limit was from the data-base establishment to March 20,2022.The literatures types included thematic evidence summarization,guide-lines,evidence summaries,systematic reviews and expert consensus.The researchers conducted the literature quality evaluation.The literatures meeting the standard conducted the evidence extraction.Results A total of 13 arti-cles were included,including 3 special subject evidence summary,4 guidelines,2 evidence summary,2 systematic evalu-ation and 2 expert consensus.A total of 16 pieces of best evidence were integrated,involving 4 aspects of organization management,evaluation and monitoring,fluid infusion strategy and health education.Conclusion It is recommended to use the target-oriented therapy for early fluid resuscitation management,and perform the fluid resuscitation immediate-ly after diagnosis,according to the patient's underlying disease,disease changes and monitoring indicators,implement precise early fluid resuscitation in order to reverse pancreatic microcirculation disorder,increase tissue perfusion and improve the patient's prognosis.
