Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Medical University of South Carolina, Charleston, SC.
Chest. 2012 Sep;142(3):563-567. doi: 10.1378/chest.12-0519.
Optimizing care in the ICU is an important goal. The heightened severity of illness in patients who are critically ill combined with the tremendous costs of critical care make the ICU an ideal target for improvement in outcomes and efficiency. Incorporation of evidence-based medicine into everyday practice is one method to optimize care; however, intensivists have struggled to define optimal practices because clinical trials in the ICU have yielded conflicting results. This article reviews examples where such conflicts have occurred and explores possible causes of these discrepant data as well as strategies to better use critical care clinical trials in the future.
优化 ICU 护理是一个重要目标。危重症患者的病情严重程度加剧，加上重症监护的巨大费用，使得 ICU 成为改善预后和提高效率的理想目标。将循证医学纳入日常实践是优化护理的一种方法；然而，重症医学专家一直在努力确定最佳实践，因为 ICU 中的临床试验得出了相互矛盾的结果。本文回顾了出现这种冲突的例子，并探讨了这些数据差异的可能原因以及未来更好地利用重症监护临床试验的策略。
