Gopal Palepu B, Karim Habib Md Reazaul, Karthekeyan Ranjit, Raphael Paul Ovungal, Tiwaskar Shilpa, Vaidyanathan R
Department of Critical Care Medicine, Citizens Specialty Hospitals, Hyderabad, Telangana, India.
Department of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Indian J Anaesth. 2023 Jan;67(1):102-109. doi: 10.4103/ija.ija_1005_22. Epub 2023 Jan 21.
Medical colleges are now developing or refurbishing their anaesthesia intensive care units. In most teaching colleges, the residency post includes working in the critical care unit (CCU). Critical care is a rapidly evolving and popular super-speciality for postgraduate students. In some hospitals, anaesthesiologists play a key role in the management of the CCU. As perioperative physicians, all anaesthesiologists should be aware of the recent advancements in diagnostic and monitoring gadgets and investigations in critical care so that they may manage perioperative events effectively. Haemodynamic monitoring gives us warning signs about the change in the internal milieu of the patient. Point-of-care ultrasonography helps in rapid differential diagnosis. Point-of-care diagnostics give us instant bed-side information on the condition of a patient. Biomarkers help in confirming diagnosis, in monitoring, treatment, and providing prognosis. Molecular diagnostics guide anaesthesiologists in providing specific treatment to a causative agent. This article touches upon all of these management strategies in critical care and attempts to put forth the recent advancements in this speciality.
医学院校目前正在建设或翻新其麻醉重症监护病房。在大多数教学医院,住院医师岗位包括在重症监护病房(CCU)工作。重症监护对于研究生来说是一个快速发展且热门的超级专科。在一些医院,麻醉医生在CCU的管理中发挥着关键作用。作为围手术期医生,所有麻醉医生都应该了解重症监护中诊断和监测设备以及检查的最新进展,以便他们能够有效地处理围手术期事件。血流动力学监测为我们提供有关患者体内环境变化的警示信号。床旁超声有助于快速进行鉴别诊断。床旁诊断为我们提供患者病情的即时床边信息。生物标志物有助于确诊、监测、治疗以及提供预后。分子诊断指导麻醉医生针对病原体进行特异性治疗。本文涉及重症监护中的所有这些管理策略,并试图阐述该专科的最新进展。