关键护理和流行病的准备和应对
William R Thomson1, Zudin A Puthucheary1, Yize I Wan1
1Adult Critical Care Unit, Royal London Hospital, Whitechapel, London, UK; William Harvey Research Institute, Barts and The London School of Medicine & Dentistry, Queen Mary University of London, London, UK.
British journal of anaesthesia
|September 9, 2023
概括
流行病对重症监护服务构成了重大挑战,需要在研究,治理和道德框架之间进行强有力的协调. 有效的流行病应对需要为重症监护单位做好准备,增加能力和恢复策略.
科学领域:
- 关键护理医学 关键护理医学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 关键护理部分发展是由于20世纪50年代的脊髓灰质炎疫情.
- 随后的流行病和大流行病一再使重症监护服务受到压力.
- 流行病需要在临床实践和资源分配方面做出重大转变.
研究的目的:
- 审查大流行期间重症监护的作用.
- 探索重症监护的准备,反应和恢复策略.
- 综合从COVID-19,H1N1,埃博拉和SARS等最近的流行病中吸取的经验教训.
主要方法:
- 在流行病和流行病期间重症监护的文献综述.
- 分析最近全球卫生危机的经验.
- 检查跨流行病准备,警戒,激增,恢复和复发阶段的情况.
主要成果:
- 流行病需要在研究,治理和重症监护网络中进行全面协调.
- 有效的应对包括适应实践标准和道德考虑,包括分拣.
- 准备和灵活的资源管理对于关键护理的弹性至关重要.
结论:
- 关键护理系统需要战略规划和国际合作来管理流行病威胁.
- 从过去的流行病中吸取教训,为未来的公共卫生紧急情况制定战略.
- 调整关键护理的提供对于减轻流行病影响至关重要.
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