器官支持的强度:对重症患者进行限制性或侵略性治疗
Hongxiang Li1, Yuting Li1, Yao Fu1
1Department of Intensive Care Medicine, The First Hospital of Jilin University, Changchun 130021, Jilin, China.
Journal of intensive medicine
|November 29, 2023
概括
用器官支持疗法积极治疗危急病患者可能会造成伤害. 器官支持的强度并不决定预后; 建议正常的生理目标.
科学领域:
- 关键护理医学 关键护理医学
- 重症监护室的重症监护室的重症监护室.
- 生理学 生理学 生理学
背景情况:
- 对重症患者器官支持的强度越来越受到审查.
- 了解各种器官支持强度的益处和风险对于临床决策至关重要.
研究的目的:
- 分析不同器官支持强度对重症患者的影响.
- 评估从积极的治疗策略中产生的潜在的阴性损害.
主要方法:
- 对治疗策略的审查,包括氧疗法,机械通风,血管活性剂,液体管理和营养支持.
- 评估与积极与保守的器官支持相关的结果.
主要成果:
- 对器官支持策略的积极实施可能会导致显著的副作用和阳性损害.
- 没有发现器官支持的强度是患者预后的决定因素.
结论:
- 建议在重症患者的器官支持治疗中使用正常的生理目标,而不是超正常的目标.
- 关于器官支持强度的临床决策应优先考虑避免阳性损害,并考虑预后.
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