Puri Nitin, Puri Vinod, Dellinger R P
Division of Critical Care Medicine, Department of Medicine, Cooper University Hospital, 3 Cooper Ave., Camden, NJ 08103, USA.
Crit Care Clin. 2009 Jan;25(1):185-200, ix. doi: 10.1016/j.ccc.2008.12.002.
Critical care medicine is a young specialty and since its inception has been heavily reliant upon technology. Invasive monitoring has its humble beginnings in the continuous monitoring of heart rate and rhythm. From the development of right heart catheterization to the adaption of the echocardiogram for use in shock, intensivists have used technology to monitor hemodynamics. The care of the critically ill has been buoyed by investigators who sought to offer renal replacement therapy to unstable patients and worked to improve the monitoring of oxygen saturation. The evolution of mechanical ventilation for the critically ill embodies innumerable technological advances. More recently, critical care has insisted upon rigorous testing and cost-benefit analysis of technological advances.
重症医学是一门年轻的专业学科，自创立以来一直严重依赖技术。有创监测起源于对心率和心律的持续监测。从右心导管插入术的发展到将超声心动图应用于休克治疗，重症监护医生一直利用技术来监测血流动力学。致力于为不稳定患者提供肾脏替代治疗并努力改进血氧饱和度监测的研究人员推动了危重症护理的发展。危重症患者机械通气的发展体现了无数的技术进步。最近，重症医学坚持对技术进步进行严格测试和成本效益分析。
