在拉丁美洲的ICU非常老的病人:一个叙事审查
Andrés Giglio1, Javiera Barrientos2, Andrés Ferre1
1Critical Care Center, Clínica Las Condes Hospital, Santiago, Chile; Critical Care Department, Finis Terrae University, Santiago, Chile.
Revista espanola de geriatria y gerontologia
|December 6, 2024
概括
在重症监护室 (ICU) 照顾非常老的病人 (80岁以上) 面临着独特的挑战. 本综述审查了他们的具体需求,预后和结果,突出了拉丁美洲的管理差距.
科学领域:
- 老年病的医生 老年病的医生
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,在重症监护室 (ICU) 住院的80岁及以上的患者人数正在增加.
- 这些患者表现出不同的生理,认知,功能和社会特征,影响了ICU护理.
- 常见的老年综合征,如不动,妄想和多药,增加了功能衰退和死亡的风险.
研究的目的:
- 审查目前关于ICU中非常老年患者管理的证据.
- 确定对这一人口群体的挑战并提出改善方案,特别是在拉丁美洲.
- 分析老年ICU患者的分组,临床特征,预后和结果.
主要方法:
- 关于ICU中非常老年患者的综合文献搜索.
- 对老年综合征及其影响现有数据的分析.
- 审查传统ICU评分系统对脆弱患者的局限性.
主要成果:
- 传统的ICU评分系统在非常老年人中不充分评估脆弱性和基线残疾.
- 由于患者和家属的潜在预后不确定性,共享决策至关重要.
- 拉丁美洲非常老的ICU患者的数据很少,尽管医疗保健系统的压力越来越大.
结论:
- 需要有效的风险评估和管理策略,以应对日益增长的非常老的ICU人口.
- 解决重症监护中老年人的独特需求对于改善结果至关重要.
- 需要进一步的研究和量身定制的方法,特别是在拉丁美洲的背景下.
更多相关视频
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
2.7K
07:52Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
16.1K
相关概念视频
01:30Pneumonia III: Complications and Assessment
165
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
165
01:21Acute Respiratory Failure-II
174
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
174
01:21Acute Respiratory Failure-I
167
Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
167
01:30Acute Respiratory Failure-III
158
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...
158
01:29Acute Respiratory Failure-V
123
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...
123
01:15Nursing Evaluation
3.2K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.2K