Gilliland Samuel, Tran Timothy, Alber Sarah, Krause Martin, Weitzel Nathaen
University of Colorado Denver, CO, USA.
Semin Cardiothorac Vasc Anesth. 2021 Jun;25(2):128-137. doi: 10.1177/10892532211016167. Epub 2021 May 14.
This year will be forever marked by the drastic changes COVID-19 wrought on our personal and professional lives. New roles and challenges in critical care have forced us to be constantly nimble and flexible in how we approach medicine. The strain of these challenges is apparent throughout the health care community and our society as a whole. Despite this adversity, 2020 will also be remembered for fantastic advances in research. This article is a collection of influential and exciting studies published in 2020 encompassing a broad swath of critical care with a focus on cardiothoracic critical care. Themes include examinations of early extracorporeal membrane oxygenation support for out-of-hospital cardiac arrest patients, the impact of sedation and other risk factors on perioperative mortality, a novel fluid resuscitation strategy following cardiac surgery, and advances in the fields of heart and lung transplantation as well as how they were affected by COVID-19. Given that many cardiothoracic intensivists were redeployed to the care of SARS-CoV-2 patients, we also discuss important advances in therapeutics for the virus.
今年将永远因新冠疫情给我们个人生活和职业生涯带来的巨大变化而被铭记。重症监护领域的新角色和新挑战迫使我们在对待医学的方式上不断保持灵活应变。这些挑战所带来的压力在整个医疗界乃至我们整个社会都显而易见。尽管面临这些逆境,2020年在研究方面也取得了非凡进展。本文汇集了2020年发表的一系列有影响力且令人振奋的研究,涵盖了广泛的重症监护领域,重点是心胸重症监护。主题包括对院外心脏骤停患者早期体外膜肺氧合支持的研究、镇静及其他风险因素对围手术期死亡率的影响、心脏手术后一种新型的液体复苏策略,以及心肺移植领域的进展以及它们如何受到新冠疫情的影响。鉴于许多心胸重症监护医生被重新调配去照顾感染新冠病毒的患者,我们还讨论了针对该病毒的治疗方法的重要进展。