埃博拉病毒病：英国重症监护视角。

Ebola virus disease: the UK critical care perspective.

机构信息

Critical Care Unit Division of Surgery and Interventional Science, University College London University College London Centre for Altitude Space and Extreme Environment Medicine, UCLH NIHR Biomedical Research Centre, Institute of Sport and Exercise Health, London W1 T 7HA, UK

Critical Care Unit.

出版信息

Br J Anaesth. 2016 May;116(5):590-6. doi: 10.1093/bja/aew098.

DOI:10.1093/bja/aew098

PMID:27106962

Abstract

The recent outbreak of Ebola virus disease (EVD) has required the treatment of affected patients in the NHS system within the UK. Managing patients with a confirmed viral haemorrhagic fever requires a thorough understanding of treatment options within the confines of an effective biocontainment setting. The Royal Free Hospital High Level Isolation Unit (HLIU) in London, is a purpose built facility that allows healthcare workers to safely treat patients with highly contagious diseases. This HLIU uses Trexler isolator tents to prevent the spread of infection from patients to healthcare workers. Provision of invasive organ support can be provided in this environment, if considered appropriate, and is achievable without posing additional risk to staff. We report our recent experiences of managing patients with EVD, with particular focus on those aspects of care pertinent to anaesthesia and critical care medicine.

摘要

近期在英国国民保健署系统内爆发了埃博拉病毒病（EVD），需要对受影响的患者进行治疗。对确诊患有病毒性出血热的患者进行管理，需要在有效的生物安全隔离环境下，透彻地了解治疗方案。伦敦皇家自由医院高级隔离单元（HLIU）是一个专门设计的设施，让医护人员能够安全地治疗具有高度传染性的疾病患者。该 HLIU 使用 Trexler 隔离帐篷来防止患者向医护人员传播感染。如果认为合适，可以在这种环境下提供侵入性器官支持，且不会对工作人员构成额外风险。我们报告了最近管理患有 EVD 患者的经验，特别关注与麻醉和重症医学相关的护理方面。