关键癌症患者急性呼吸系统衰竭的专家共识 (2023)
Hai-Jun Wang1, Wei Chen2, Hong-Zhi Wang3
1Department of Intensive Care Unit, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih
|September 21, 2023
概括
这一共识提供了基于证据的建议,用于诊断和治疗急性呼吸衰竭 (ARF) 严重癌症患者,指导临床实践以改善结果.
科学领域:
- 关键护理医学 关键护理医学
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
背景情况:
- 急性呼吸衰竭 (ARF) 在危急癌症患者中提出了重大挑战.
- 现有的指导方针可能无法充分解决这种人群中ARF的独特复杂性.
- 基于证据的建议对于优化诊断和治疗策略至关重要.
研究的目的:
- 建立基于共识的,基于证据的建议,以诊断和治疗急性癌症患者的ARF.
- 通过结构化的 PICO 框架和 GRADE 方法来解决常见的临床问题.
- 为了改善临床决策和患者的结果,在这个特定的队列.
主要方法:
- 使用PICO (人口,干预,比较,结果) 原则开发六个临床问题.
- 进行全面的文献搜索和元分析,以收集相关证据.
- 应用GRADE (推评估,开发和评价的分级) 方法来获得专家小组的共识.
主要成果:
- 强有力的建议有利于转基因下一代测序 (mNGS) 以快速诊断肺部感染.
- 身体外膜氧化 (ECMO) 不是常规的,但可能有利于选定的ARDS患者.
- 免疫检查点抑制剂增加了肺炎的风险;早期气管切除可能有利于长时间的通风.
- 建议使用高流量鼻氧和非侵入性通风作为ARF的第一线策略.
- 对敏感患者的瘤压缩相关的ARF紧急化疗的弱建议.
结论:
- 开发的建议为关键癌症患者的ARF管理提供了一个框架.
- 基于证据的指导可以提高诊断准确性和治疗干预措施.
- 实施这些建议有可能改善患者的治疗结果.
关键词:
严重的呼吸衰竭是急性呼吸衰竭.癌症 癌症 癌症 癌症 癌症早期的气管切除术专家的共识 专家的共识身体外的 membcane 氧化氧化免疫检查点抑制剂疗法免疫检查点抑制剂疗法基因组下一代测序的测序.紧急的化疗治疗.更多相关视频
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