Dick W
Klinik für Anästhesiologie, Johannes Gutenberg-Universität, Mainz.
Langenbecks Arch Chir. 1988;Suppl 2:397-400.
In recent years intensive care medicine has been accused of becoming a purely technological medicine. Those of this opinion, however, fail to realize that automatic ECG and blood pressure monitoring have improved the safety and validity of vital parameters and have relieved qualified personnel from unnecessary tasks. The controversial discussion of invasive monitoring, particularly the use of pulmonary artery catheters, led to new and improved technology. Infusion technology and artificial ventilation are characteristic examples which demonstrate the essential need for technology in intensive care medicine. The same is true for extracorporeal CO2 elimination, pacemaker technology, haemofiltration, etc. Computer technology will lead to further improvement in safety and patient care, protecting the patient from human and technical errors.
近年来,重症监护医学被指责已沦为一门纯粹的技术医学。然而,持这种观点的人没有意识到,自动心电图和血压监测提高了生命参数的安全性和有效性,还使专业人员从不必要的任务中解脱出来。关于侵入性监测,尤其是肺动脉导管使用的争议性讨论催生了新的、改良的技术。输液技术和人工通气就是典型例子,它们表明了重症监护医学对技术的根本需求。体外二氧化碳清除、起搏器技术、血液滤过等亦是如此。计算机技术将进一步提高安全性并改善患者护理,保护患者免受人为和技术错误的影响。