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重症监护作为麻醉医生的一个职业方向。

Critical care as a career for anaesthesiologists.

作者信息

Bhattacharya Pradip Kumar, Nair Suresh G, Kumar Nishant, Natarajan Pratheeba, Chhanwal Heena

机构信息

Critical Care, Trauma and Emergency Care Services, Rajendra Institute of Medical Sciences (RIMS), Ranchi, Jharkhand, India.

Anaesthesia and Critical Care, Aster Medcity, Kochi, Kerala, India.

出版信息

Indian J Anaesth. 2021 Jan;65(1):48-53. doi: 10.4103/ija.IJA_1490_20. Epub 2021 Jan 20.

DOI:10.4103/ija.IJA_1490_20
PMID:33767503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7980238/
Abstract

Anaesthesiologists by virtue of their understanding of physiology, pharmacology and resuscitation skills are best suited to manage critical care units. Armed with this varied knowledge, the anaesthesiologist is 'physician to the surgeon and a surgeon to the physician'. Specialised training helps them to provide extended postoperative and critical care. During the past few months in the battle with coronavirus disease (COVID)-19, anaesthesiologists have stood up to the challenge of caring for critically ill patients, compromising on their operating room responsibilities. The fact from a growing body of literature suggests that an anaesthesiologist as a critical care specialist provides efficient care and better outcomes. With an increasing awareness and need for critical care, government support is going to increase with an increase in avenues for training and research leading to better professional development and earning potential.

摘要

麻醉医生凭借其对生理学、药理学的理解以及复苏技能,最适合管理重症监护病房。凭借这些丰富的知识,麻醉医生“既是外科医生的内科医生,也是内科医生的外科医生”。专业培训有助于他们提供术后延长护理和重症监护。在过去几个月与冠状病毒病(COVID)-19的战斗中,麻醉医生挺身而出,承担起照顾重症患者的挑战,牺牲了他们在手术室的职责。越来越多的文献表明,作为重症监护专家的麻醉医生能提供高效护理并取得更好的治疗效果。随着对重症监护的认识和需求不断增加,政府支持将随着培训和研究途径的增加而增加,从而带来更好的职业发展和收入潜力。

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本文引用的文献

1
The value of anaesthesiologists in the COVID-19 pandemic: a model for our future practice?麻醉医生在新冠疫情中的价值:我们未来实践的典范?
Br J Anaesth. 2020 Nov;125(5):652-655. doi: 10.1016/j.bja.2020.08.014. Epub 2020 Aug 20.
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COVID-19: bringing out the best in anesthesiologists and looking toward the future.新型冠状病毒肺炎:展现麻醉医生的最佳一面并展望未来
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PLoS One. 2015 Aug 31;10(8):e0136955. doi: 10.1371/journal.pone.0136955. eCollection 2015.
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Future of anesthesiology is perioperative medicine: a call for action.麻醉学的未来是围手术期医学:行动呼吁。
Anesthesiology. 2015 Jun;122(6):1192-5. doi: 10.1097/ALN.0000000000000680.
5
Clinical review: International comparisons in critical care - lessons learned.临床综述:重症监护领域的国际比较——经验教训
Crit Care. 2012 Dec 12;16(2):218. doi: 10.1186/cc11140.
6
Critical care and the global burden of critical illness in adults.重症监护和成人重症疾病的全球负担。
Lancet. 2010 Oct 16;376(9749):1339-46. doi: 10.1016/S0140-6736(10)60446-1. Epub 2010 Oct 11.
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Legal issues in the practice of critical care medicine: a practical approach.重症医学实践中的法律问题:一种实用方法。
Crit Care Med. 2007 Feb;35(2 Suppl):S44-58. doi: 10.1097/01.CCM.0000252921.55611.36.
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Evolution of anaesthesia in India.印度麻醉学的发展历程。
J Postgrad Med. 2001 Apr-Jun;47(2):149-52.
9
The anesthesiologist in critical care medicine: past, present, and future.重症医学中的麻醉医生:过去、现在与未来。
Anesthesiology. 2001 Sep;95(3):781-8. doi: 10.1097/00000542-200109000-00034.