Zonies David, Codner Panna, Park Pauline, Martin Niels D, Lissauer Matthew, Evans Susan, Cocanour Christine, Brasel Karen
Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA.
Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Trauma Surg Acute Care Open. 2019 Apr 3;4(1):e000304. doi: 10.1136/tsaco-2019-000304. eCollection 2019.
The American Association for the Surgery of Trauma Critical Care Committee has developed clinical consensus guides to help with practical answers based on the best evidence available. These are focused in areas in which the levels of evidence may not be that strong and are based on a combination of expert consensus and research. Overall, quality of the research is mixed, with many studies suffering from small numbers and issues with bias. The first two of these focus on the use of extracorporeal membrane oxygenation in trauma patients and nutrition for the critically ill surgical/trauma patient.
美国创伤外科协会重症监护委员会制定了临床共识指南,以基于现有最佳证据提供实用答案。这些指南聚焦于证据水平可能不那么充分的领域,是基于专家共识和研究的结合。总体而言,研究质量参差不齐,许多研究存在样本量小和偏倚问题。其中前两个指南分别关注创伤患者体外膜肺氧合的应用以及重症外科/创伤患者的营养问题。