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美国创伤外科学会危重症委员会临床共识:体外膜肺氧合,营养

AAST Critical Care Committee clinical consensus: ECMO, nutrition.

作者信息

Zonies David, Codner Panna, Park Pauline, Martin Niels D, Lissauer Matthew, Evans Susan, Cocanour Christine, Brasel Karen

机构信息

Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA.

Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

出版信息

Trauma Surg Acute Care Open. 2019 Apr 3;4(1):e000304. doi: 10.1136/tsaco-2019-000304. eCollection 2019.

DOI:10.1136/tsaco-2019-000304
PMID:31058243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6461143/
Abstract

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.

摘要

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。

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本文引用的文献

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Fellowship training in extracorporeal life support: Characterization and educational needs assessment.体外生命支持专业培训:特征描述与教育需求评估。
J Crit Care. 2018 Aug;46:159-161. doi: 10.1016/j.jcrc.2018.03.023. Epub 2018 Mar 29.
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Indications and outcomes of extracorporeal life support in trauma patients.创伤患者体外生命支持的适应证和结局。
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Impact of caloric intake in critically ill patients with, and without, refeeding syndrome: A retrospective study.危重症患者有无再喂养综合征时热量摄入的影响:一项回顾性研究。
Clin Nutr. 2018 Oct;37(5):1609-1617. doi: 10.1016/j.clnu.2017.08.001. Epub 2017 Aug 10.
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Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition.儿童危重症患者营养支持治疗提供和评估指南:重症医学学会和肠外与肠内营养学会。
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5
ECMO in trauma: What are the outcomes?创伤患者使用体外膜肺氧合(ECMO):结果如何?
J Trauma Acute Care Surg. 2017 Apr;82(4):819-820. doi: 10.1097/TA.0000000000001382.
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Revisiting the refeeding syndrome: Results of a systematic review.重新审视再喂养综合征:系统评价结果
Nutrition. 2017 Mar;35:151-160. doi: 10.1016/j.nut.2016.05.016. Epub 2016 Jun 8.
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Extracorporeal life support is safe in trauma patients.体外生命支持在创伤患者中是安全的。
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Advanced extracorporeal therapy in trauma.创伤的高级体外治疗。
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