Circulation. 2020 Dec;142(22):e379-e406. doi: 10.1161/CIR.0000000000000909. Epub 2020 Oct 29.
Contemporary cardiac intensive care units (CICUs) have an increasing prevalence of noncardiovascular comorbidities and multisystem organ dysfunction. However, little guidance exists to support the development of best-practice principles specific to the CICU. This scientific statement evaluates strategies to avoid the potentially preventable complications encountered within contemporary CICUs, focusing on those that are most applicable to the CICU environment. This scientific statement reviews evidence-based practices derived in non-CICU populations, assesses their relevance to CICU practice, and highlights key knowledge gaps warranting further investigation to attenuate patient risk.
当代心脏重症监护病房(CICU)中非心血管合并症和多系统器官功能障碍的患病率不断上升。然而,目前几乎没有指导意见来支持制定针对 CICU 的最佳实践原则。本科学声明评估了避免当代 CICU 中可能出现的可预防并发症的策略,重点是那些最适用于 CICU 环境的策略。本科学声明回顾了在非 CICU 人群中得出的循证实践,评估了它们与 CICU 实践的相关性,并强调了需要进一步研究以降低患者风险的关键知识空白。