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