Division of Pediatric Critical Care, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Expert Rev Respir Med. 2011 Feb;5(1):65-73. doi: 10.1586/ers.10.93.
Pediatric intensive care units across the world care for large numbers of mechanically ventilated infants and children on a daily basis, yet management of these patients is far from standardized. This lack of standardization may be a necessity in certain situations given variation between underlying disease processes, pathophysiology, response to therapy and available resources. However, there are many situations in which similar patients are managed differently across pediatric intensive care units simply because there are a shortage of available data to guide the management of these critically ill infants and children. Thus, a large fraction of pediatric critical care involves a combination of institutional preference, individual experience, opinion and extrapolation of adult data.
世界各地的儿科重症监护病房每天都会照顾大量机械通气的婴儿和儿童，但这些患者的管理远未标准化。鉴于基础疾病过程、病理生理学、对治疗的反应和可用资源之间的差异，这种缺乏标准化在某些情况下可能是必要的。然而，在许多情况下，由于缺乏指导这些危重症婴儿和儿童管理的数据，不同儿科重症监护病房对相似的患者进行了不同的管理。因此，很大一部分儿科重症监护涉及机构偏好、个人经验、意见和成人数据的推断。
