长期重症监护:从COVID-19大流行中获得的肌肉功能和营养见解
Miguel Ángel Martínez-Camacho1, Robert Alexander Jones-Baro1, Alberto Gómez-González1
1Department of Critical Care Rehabilitation, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.
Acute and critical care
|February 2, 2024
概括
在COVID-19大流行期间,在重症监护室 (ICU) 管理患者强调了长期重症监护 (PIC) 的风险. 积极处理二次并发症对于改善重症患者的治疗结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 流行病需要对需要重症监护室 (ICU) 住院的患者进行先进的管理.
- 危急病患者,特别是那些需要机械通风的严重急性呼吸困扰综合征患者,面临着长期重症监护 (PIC) 的重大风险.
- 这些患者容易发生二次并发症,这可能会对短期和长期健康结果产生负面影响.
研究的目的:
- 强调在重症患者中主动管理功能并发症的重要性.
- 强调有必要减轻与ICU入院的主要原因无关的次要并发症.
- 强调将预防并发症策略纳入常规ICU实践中的重要性,包括所有重症患者,包括COVID-19患者.
主要方法:
- 摘要没有详细说明具体方法,但讨论了COVID-19大流行期间的临床观察和经验.
- 重点是学习了长时间ICU住院的管理策略,并认识到与重症相关的风险.
主要成果:
- 临床工作人员在疫情期间获得了长时间ICU住院患者的管理经验.
- 长期重症监护 (PIC) 和相关并发症的风险被确定为严重的COVID-19患者的主要担忧.
- 人们认识到,侵入性机械通风有可能导致由于二次并发症而导致显著的发病率和死亡率.
结论:
- 功能性并发症的积极管理对于改善ICU患者的发展轨迹至关重要.
- 尽量减少二次并发症是减少长期重症监护 (PIC) 发生率和影响的关键策略.
- 在日常ICU实践中实施预防策略对于所有重症患者来说至关重要,无论他们最初的诊断如何.
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