Rady Mohamed Y
Mayo College of Medicine, Mayo Clinic Hospital, Phoenix, Arizona, USA.
Crit Care. 2005 Apr;9(2):170-6. doi: 10.1186/cc2986. Epub 2004 Oct 20.
Over the past decade the practice of acute resuscitation and its monitoring have undergone significant changes. Utilization of noninvasive mechanical ventilation, goal-directed therapy, restricted fluid volume, blood transfusion and minimally invasive technology for monitoring tissue oxygenation have changed the practice of acute resuscitation. Early diagnosis and definitive treatment of the underlying cause of shock remains the mainstay for survival after successful resuscitation. Patient-centered outcome end-points, in addition to survival, are being utilized to appraise the effectiveness of treatment. Application of medical ethics to the ever changing practice of acute resuscitation has also become a societal expectation.
在过去十年中,急性复苏实践及其监测方法发生了重大变化。无创机械通气、目标导向治疗、限制液体量、输血以及用于监测组织氧合的微创技术的应用改变了急性复苏实践。休克潜在病因的早期诊断和确定性治疗仍然是成功复苏后生存的主要支柱。除了生存之外,以患者为中心的结局终点正被用于评估治疗效果。将医学伦理应用于不断变化的急性复苏实践也已成为社会的期望。