重症监护病房的姑息治疗：过去、现在和未来。

Palliative Care in the Intensive Care Unit: Past, Present, and Future.

机构信息

Division of Palliative Care, Department of Medicine, University of Ottawa, 43 Rue Bruyere, Suite 268J, Ottawa K1N 5C8, Canada; Department of Critical Care, The Ottawa Hospital, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, Canada.

Department of Anesthesiology, Columbia University, 622 West 168th Street, New York, NY 10032, USA; Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA.

出版信息

Crit Care Clin. 2023 Jul;39(3):529-539. doi: 10.1016/j.ccc.2023.01.007.

DOI:10.1016/j.ccc.2023.01.007

PMID:37230554

Abstract

In this article, the authors review the origins of palliative care within the critical care context and describe the evolution of symptom management, shared decision-making, and comfort-focused care in the ICU from the 1970s to the early 2000s. The authors also review the growth of interventional studies in the past 20 years and indicate areas for future study and quality improvement for end-of-life care among the critically ill.

摘要

本文作者回顾了重症监护环境中舒缓治疗的起源，并描述了 20 世纪 70 年代至 21 世纪初 ICU 中症状管理、共同决策和舒适护理的演变。作者还回顾了过去 20 年干预性研究的发展，并指出了重症患者临终关怀领域未来研究和质量改进的方向。