Sadler James, Williams Gareth
University Hospitals of Leicester, Leicester, UK.
Crit Care. 2005 Aug;9(4):314-6. doi: 10.1186/cc3785. Epub 2005 Jul 22.
Tracheostomies have been around for close to 3000 years, so one would hope that the controversies might have been thrashed out by now, but apparently not. Judging by some recent publications it would appear that we still do not know when or how to insert them. Monitoring is fundamental to critical care; two papers describe novel/modified techniques for assessing traumatic brain injury and cardiac output. The intensive care unit imposes a heavy treatment burden, particularly on the elderly. What impact does this have on the lives of the survivors?
气管造口术已经存在了近3000年,所以人们可能希望现在相关争议已经得到解决,但显然并非如此。从最近的一些出版物来看,我们似乎仍然不知道何时以及如何进行气管造口术。监测是重症监护的基础;两篇论文描述了评估创伤性脑损伤和心输出量的新方法/改良技术。重症监护病房带来了沉重的治疗负担,尤其是对老年人。这对幸存者的生活有什么影响?