Ortiz Damaris
Division of Acute Care Surgery, Department of Surgery, Indiana University School of Medicine.
Sidney & Lois Eskenazi Hospital Smith Level One Trauma Center, Indianapolis, Indiana, USA.
Curr Opin Crit Care. 2020 Dec;26(6):634-639. doi: 10.1097/MCC.0000000000000762.
Increased focus on patient-centered outcomes, mental health, and delirium prevention makes this review timely and relevant for critical care.
This review focuses on patient-centered outcomes in the ICU, highlighting the latest research to promote brain health and psychological recovery during and after perioperative critical illness. Topics include sedation in the obese patient, delirium severity assessments, the role of the Psychiatry Consultation-Liaison in the ICU, Post-intensive care syndrome, and the importance of family engagement in the COVID era.
Highlighting new research, such as novel implementation strategies in addition to a lack of research in certain areas like sleep in the ICU may lead to innovation and establishment of evidence-based practices in critical care. Perioperative brain health is multifaceted, and an increase in multidisciplinary interventions may help improve outcomes and decrease morbidity in ICU survivors.
对以患者为中心的结局、心理健康和谵妄预防的关注度不断提高,使得本综述对于重症监护而言既及时又具有相关性。
本综述聚焦于重症监护病房(ICU)中以患者为中心的结局,重点介绍了促进围手术期危重症期间及之后脑健康和心理恢复的最新研究。主题包括肥胖患者的镇静、谵妄严重程度评估、精神科会诊 - 联络在ICU中的作用、重症监护后综合征以及COVID时代家庭参与的重要性。
突出新的研究,如新颖的实施策略,以及ICU中某些领域(如睡眠)缺乏研究,可能会推动重症监护领域的创新并建立循证实践。围手术期脑健康是多方面的,多学科干预的增加可能有助于改善结局并降低ICU幸存者的发病率。