1 Intensive Cardiac Care Unit, Hospices Civils de Lyon, France.
2 Centro Nacional de Investigaciones Cardiovasculares, Cardiology Department, Hospital Universitario 12 de Octubre, Spain.
Eur Heart J Acute Cardiovasc Care. 2018 Feb;7(1):80-95. doi: 10.1177/2048872617724269. Epub 2017 Aug 17.
Acute cardiovascular care has progressed considerably since the last position paper was published 10 years ago. It is now a well-defined, complex field with demanding multidisciplinary teamworking. The Acute Cardiovascular Care Association has provided this update of the 2005 position paper on acute cardiovascular care organisation, using a multinational working group. The patient population has changed, and intensive cardiovascular care units now manage a large range of conditions from those simply requiring specialised monitoring, to critical cardiovascular diseases with associated multi-organ failure. To describe better intensive cardiovascular care units case mix, acuity of care has been divided into three levels, and then defining intensive cardiovascular care unit functional organisation. For each level of intensive cardiovascular care unit, this document presents the aims of the units, the recommended management structure, the optimal number of staff, the need for specially trained cardiologists and cardiovascular nurses, the desired equipment and architecture, and the interaction with other departments in the hospital and other intensive cardiovascular care units in the region/area. This update emphasises cardiologist training, referring to the recently updated Acute Cardiovascular Care Association core curriculum on acute cardiovascular care. The training of nurses in acute cardiovascular care is additionally addressed. Intensive cardiovascular care unit expertise is not limited to within the unit's geographical boundaries, extending to different specialties and subspecialties of cardiology and other specialties in order to optimally manage the wide scope of acute cardiovascular conditions in frequently highly complex patients. This position paper therefore addresses the need for the inclusion of acute cardiac care and intensive cardiovascular care units within a hospital network, linking university medical centres, large community hospitals, and smaller hospitals with more limited capabilities.
自 10 年前上一份立场文件发布以来，急性心血管护理取得了长足的进展。它现在是一个定义明确、复杂的领域，需要多学科团队合作。急性心血管护理协会使用一个多国家工作组更新了 2005 年关于急性心血管护理组织的立场文件。患者人群已经发生了变化，强化心血管护理单元现在管理着从仅仅需要专门监测的各种疾病到伴有多器官衰竭的严重心血管疾病的广泛疾病。为了更好地描述强化心血管护理单元的病例组合，护理的紧迫性分为三个级别，然后定义强化心血管护理单元的功能组织。对于每个级别的强化心血管护理单元，本文介绍了单元的目标、推荐的管理结构、最佳员工人数、对专门训练的心脏病专家和心血管护士的需求、所需设备和架构，以及与医院其他部门和该地区/区域的其他强化心血管护理单元的互动。本更新强调了心脏病专家的培训，提到了最近更新的急性心血管护理协会急性心血管护理核心课程。还提到了对急性心血管护理护士的培训。强化心血管护理单元的专业知识不仅限于单元的地理边界内，还延伸到心脏病学的不同专业和亚专业以及其他专业，以便在经常非常复杂的患者中最佳地管理广泛的急性心血管疾病。因此，本立场文件提出了在医院网络中纳入急性心脏护理和强化心血管护理单元的需求，将大学医学中心、大型社区医院和能力有限的较小医院联系起来。
