兽医中的急性呼吸困扰综合征 - - ARDSVet的定义
Anusha Balakrishnan1, Deborah C Silverstein2, Daniela Bedenice3
1Veterinary Emergency Group, White Plains, New York, USA.
概括
通过基于证据的共识过程创建了兽医急性呼吸困扰综合征 (ARDS) 的最新定义. 这些新的ARDS兽医 (ARDSVet) 标准将改善诊断和标准化研究,以更好地照顾动物的呼吸系统.
科学领域:
- 动物医学
- 肺病学
- 关键的护理
背景情况:
- 急性呼吸阻碍综合征 (ARDS) 是一种严重的肺部疾病,在动物中具有显著的发病率和死亡率.
- 目前对兽医ARDS的定义缺乏标准化,阻碍了准确的诊断和研究.
- 需要采用基于共识的方法,以建立基于证据的兽医ARDS定义.
研究的目的:
- 在兽医中为急性呼吸困扰综合征制定最新的,基于证据的定义.
- 促进各种动物中ARDS的识别和诊断.
- 标准化未来的研究和兽医ARDS的临床管理.
主要方法:
- 对兽医中的ARDS和急性肺损伤进行了系统的文献审查.
- 一场由12位多学科专家组成的国际共识会议利用共识方法和实施科学.
- 在兽医ARDS (ARDSVet) 的最终定义中纳入了德尔菲式调查和公众反.
主要成果:
- 针对小型动物 (狗,猫) 和大型动物 (马匹) 制定了ARDSVet的最新定义.
- 在文献搜索中发现了许多与兽医ARDS相关的出版物和病例.
- 新的ARDSVet定义包括风险因素,肺,氧化障碍和输管和非输管动物的严重程度分层标准.
结论:
- 达成共识的过程产生了更新的ARDSVet定义,以提高识别和诊断.
- 这些定义将标准化未来的研究,包括开发ARDS注册表.
- 更新的定义为基于证据的兽医ARDS治疗建议铺平了道路.
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