ISCCM立场声明:在重症监护病房治疗严重登革热的方法
Ashish Bhalla1, Harpreet Singh1, Vikas Suri1
1Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
概括
这项研究提供了重症监护病房中严重登革热的最新管理指南. 印度重症监护医学协会成立了一个工作组,以解决缺乏最近的指令的问题,为重症监护提供基于共识的建议.
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
- 公共卫生 公共卫生
背景情况:
- 登革热是印度和东南亚急性发烧性疾病的重要原因,在全球范围内报告了数以百万计的感染,造成了全球健康问题.
- 印度现有的登革热管理指南,最后一次更新于2014年,被印度重症医疗学会 (ISCCM) 认为不足.
研究的目的:
- 为在重症监护室 (ICU) 设置中的严重登革热制定更新的,基于共识的管理指南.
- 根据现有的卫生部指导方针,解决目前登革热管理指导方针的需要.
主要方法:
- 一个由14名专家组成的专家小组由ISCCM召集,制定有关登革热管理的关键问题.
- 在PubMed,MEDLINE和Science Direct中对2000年1月1日至2023年7月1日之间发表的文章进行了系统的文献搜索.
- 根据收集的证据,共识声明被生成,需要至少70%的任务小组成员同意.
主要成果:
- 工作组系统地审查了证据,以回答严重登革热管理的关键问题.
- 制定了共识声明,承认许多可用的证据质量中等至低.
- 这些声明代表了专家小组关于严重登革热ICU管理最佳实践的集体协议.
结论:
- ISCCM已经发布了一份立场声明,为ICU中严重登革热的管理提供了最新的指导.
- 这些共识声明旨在弥合最近指令中关于重症监护中的登革热治疗的差距.
- 这些指导方针是针对重症病房医生和管理严重登革热病例的医疗保健专业人员.
相关概念视频
Pneumonia IV: Management
311
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
311
Acute Respiratory Failure-V
125
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
125
Methods of reducing fever
649
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
649
Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
Esophageal Varices-II: Clinical Features and Management
57
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
57
Acute Respiratory Failure-III
163
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
163


