创伤重症监护病房中的预先指示：它们真的重要吗？
Advance directives in the trauma intensive care unit: Do they really matter?
作者信息
Gordy Stephanie, Klein Eran
机构信息
Departments of Surgery and Neurology, Oregon Health and Science University, Mail Code L611, 3181 SW Sam Jackson Park, Portland, Oregon 97239, USA.
出版信息
Int J Crit Illn Inj Sci. 2011 Jul;1(2):132-7. doi: 10.4103/2229-5151.84800.
Abstract
Despite advances in the care of the injured patient, 22% of trauma patients admitted to the intensive care unit will die from their injuries. As a majority of these deaths will occur due to withdrawal of care, intensivists should be proficient in their ability to discuss end-of-life care with patients and families. While the use of advance directives to document patients' wishes has increased, their utility is uncertain. We review the effectiveness and obstacles of advance directives.
摘要
尽管在受伤患者的护理方面取得了进展，但入住重症监护病房的创伤患者中有22%会因伤死亡。由于这些死亡中的大多数将因停止治疗而发生，重症监护医生应熟练掌握与患者及其家属讨论临终护理的能力。虽然使用预先指示来记录患者的意愿有所增加，但其效用尚不确定。我们回顾了预先指示的有效性和障碍。
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