獣医学における急性呼吸器障害症候群 - ARDSVetの定義
Anusha Balakrishnan1, Deborah C Silverstein2, Daniela Bedenice3
1Veterinary Emergency Group, White Plains, New York, USA.
まとめ
獣医における急性呼吸障害症候群 (ARDS) の最新定義は,証拠に基づいたコンセンサスプロセスを用いて作成された. これらの新しいARDS獣医基準 (ARDSVet) は,診断を改善し,より良い動物の呼吸器のケアのための研究を標準化します.
科学分野:
- 獣医学
- 肺科
- 緊急 治療
背景:
- 急性呼吸器障害症候群 (ARDS) は,動物における重大な罹病率と死亡率を伴う重度の肺疾患である.
- 獣医学におけるARDSの現在の定義は標準化されていないため,正確な診断と研究が困難です.
- 獣医用ARDSの最新で証拠に基づいた定義を確立するには,コンセンサスに基づいたアプローチが必要である.
研究 の 目的:
- 獣医学における急性呼吸障害症候群の最新で根拠に基づいた定義を策定する.
- 様々な動物種におけるARDSの認識と診断を容易にする.
- 獣医のARDSの将来の研究と臨床管理を標準化する.
主な方法:
- 獣医学におけるARDSと急性肺損傷に関する体系的な文献レビューが行われました.
- 国際的なコンセンサスの会議で 12人の多分野専門家がコンセンサスの方法論と実装科学を利用した.
- 獣医用ARDS (ARDSVet) の最終的な定義に組み込まれたデルフィー式調査と公衆からのフィードバック.
主要な成果:
- 小型動物 (犬,猫) と大型動物 (馬) に対して,ARDSVetの定義が更新されました.
- 文献検索により,獣医のARDSに関連する多数の出版物と症例が特定されました.
- 新しいARDSVetの定義には,リスク因子,肺腫,酸素補給障害,およびインチューブされた動物とインチューブされていない動物の重度の階層化に関する基準が含まれています.
結論:
- このコンセンサスプロセスは,認識と診断を強化するために,ARDSVetの定義を更新しました.
- これらの定義は,ARDSレジストリの開発を含む将来の研究を標準化します.
- 更新された定義は,獣医のARDSに対する根拠に基づいた治療勧告の道を開く.
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