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本文引用的文献

1
Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study.围手术期 SARS-CoV-2 感染患者的死亡率和肺部并发症：一项国际队列研究。
Lancet. 2020 Jul 4;396(10243):27-38. doi: 10.1016/S0140-6736(20)31182-X. Epub 2020 May 29.
2
High-flow nasal cannula support therapy: new insights and improving performance.高流量鼻导管支持疗法：新的见解和性能提升。
Crit Care. 2017 Mar 21;21(1):62. doi: 10.1186/s13054-017-1640-2.
3
Frailty and post-operative outcomes in older surgical patients: a systematic review.老年外科患者的衰弱与术后结局：一项系统综述
BMC Geriatr. 2016 Aug 31;16(1):157. doi: 10.1186/s12877-016-0329-8.
4
The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).《脓毒症及脓毒性休克第三次国际共识定义（脓毒症-3）》
JAMA. 2016 Feb 23;315(8):801-10. doi: 10.1001/jama.2016.0287.
5
Fluid overload, de-resuscitation, and outcomes in critically ill or injured patients: a systematic review with suggestions for clinical practice.危重症或受伤患者的液体超负荷、液体复苏解除及预后：一项系统综述并提出临床实践建议
Anaesthesiol Intensive Ther. 2014 Nov-Dec;46(5):361-80. doi: 10.5603/AIT.2014.0060.
6
Targeted temperature management at 33°C versus 36°C after cardiac arrest.心脏骤停后 33°C 与 36°C 的目标温度管理。
N Engl J Med. 2013 Dec 5;369(23):2197-206. doi: 10.1056/NEJMoa1310519. Epub 2013 Nov 17.
7
'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England.“匹配密歇根州”：一项为期两年的阶梯式干预计划，旨在将英格兰重症监护病房的中心静脉导管相关血流感染降至最低。
BMJ Qual Saf. 2013 Feb;22(2):110-23. doi: 10.1136/bmjqs-2012-001325. Epub 2012 Sep 20.
8
Hydroxyethyl starch 130/0.42 versus Ringer's acetate in severe sepsis.羟乙基淀粉 130/0.42 与醋酸林格氏液治疗严重脓毒症的比较。
N Engl J Med. 2012 Jul 12;367(2):124-34. doi: 10.1056/NEJMoa1204242. Epub 2012 Jun 27.
9
Postoperative delirium. Part 1: pathophysiology and risk factors.术后谵妄。第 1 部分：发病机制和危险因素。
Eur J Anaesthesiol. 2011 Sep;28(9):628-36. doi: 10.1097/EJA.0b013e328349b7f5.
10
Early versus late parenteral nutrition in critically ill adults.危重症成人的早期与晚期肠外营养。
N Engl J Med. 2011 Aug 11;365(6):506-17. doi: 10.1056/NEJMoa1102662. Epub 2011 Jun 29.

危重症患者的护理。

Care of the critically ill patient.

作者信息

Jackson Monica, Cairns Thomas

机构信息

is a Specialist Registrar in Intensive Care Medicine and Anaesthesia at Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK. Conflicts of interest: none declared.

is a Consultant in Intensive Care Medicine and Anaesthesia at Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK. Conflicts of interest: none declared.

出版信息

Surgery (Oxf). 2021 Jan;39(1):29-36. doi: 10.1016/j.mpsur.2020.11.002. Epub 2020 Dec 16.

DOI:10.1016/j.mpsur.2020.11.002
PMID:33776181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7985681/
Abstract

The care of critically ill patient within the intensive care unit requires a multidisciplinary approach. An understanding of the main principles of intensive care medicine is essential for surgeons, both for participating in the management of their own critically ill patients and also because surgical complications of critical care are well recognized. This article describes the main principles of intensive care medicine within the context of the COVID-19 pandemic, giving an overview of a systematic approach to assessment and treatment of organ dysfunction, and highlights some of the complex ethical and organizational challenges.

摘要

在重症监护病房对重症患者的护理需要多学科方法。对于外科医生来说，了解重症医学的主要原则至关重要，这不仅有助于他们参与自身重症患者的管理，还因为重症监护的手术并发症是广为人知的。本文在新冠疫情背景下描述了重症医学的主要原则，概述了评估和治疗器官功能障碍的系统方法，并强调了一些复杂的伦理和组织挑战。