1 Department of Critical Care, St. Michael's Hospital and the Critical Illness and Injury Research Centre, Keenan Research Centre for Biomedical Science of St. Michael's Hospital, Toronto, Ontario, Canada.
2 Interdepartmental Division of Critical Care and.
Am J Respir Crit Care Med. 2016 Jul 1;194(1):19-25. doi: 10.1164/rccm.201602-0339UP.
This review documents important progress made in 2015 in the field of critical care. Significant advances in 2015 included further evidence for early implementation of low tidal volume ventilation as well as new insights into the role of open lung biopsy, diaphragmatic dysfunction, and a potential mechanism for ventilator-induced fibroproliferation. New therapies, including a novel low-flow extracorporeal CO2 removal technique and mesenchymal stem cell-derived microparticles, have also been studied. Several studies examining the role of improved diagnosis and prevention of ventilator-associated pneumonia also showed relevant results. This review examines articles published in the American Journal of Respiratory and Critical Care Medicine and other major journals that have made significant advances in the field of critical care in 2015.
这篇综述记录了 2015 年重症监护领域的重要进展。2015 年的重要进展包括进一步证明早期实施小潮气量通气的有效性，以及对开胸肺活检、膈肌功能障碍和呼吸机诱导性纤维增生的潜在机制的新认识。新的治疗方法，包括新型低流量体外 CO2 去除技术和间充质干细胞衍生的微粒，也得到了研究。一些研究检查了改善呼吸机相关性肺炎的诊断和预防的作用，也显示了相关的结果。这篇综述检查了发表在《美国呼吸与危重病医学杂志》和其他主要期刊上的文章，这些文章在 2015 年重症监护领域取得了重大进展。
