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长期重症监护:来自新冠疫情的肌肉功能与营养见解

Prolonged intensive care: muscular functional, and nutritional insights from the COVID-19 pandemic.

作者信息

Martínez-Camacho Miguel Ángel, Jones-Baro Robert Alexander, Gómez-González Alberto, Lugo-García Dalia Sahian, Astorga Pía Carolina Gallardo, Melo-Villalobos Andrea, Gonzalez-Rodriguez Bárbara Kassandra, Pérez-Calatayud Ángel Augusto

机构信息

Department of Critical Care Rehabilitation, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.

Department of Clinical Nutrition, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.

出版信息

Acute Crit Care. 2024 Feb;39(1):47-60. doi: 10.4266/acc.2023.01284. Epub 2024 Feb 2.

Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, clinical staff learned how to manage patients enduring extended stays in an intensive care unit (ICU). COVID-19 patients requiring critical care in an ICU face a high risk of experiencing prolonged intensive care (PIC). The use of invasive mechanical ventilation in individuals with severe acute respiratory distress syndrome can cause numerous complications that influence both short-term and long-term morbidity and mortality. Those risks underscore the importance of proactively addressing functional complications. Mitigating secondary complications unrelated to the primary pathology of admission is imperative in minimizing the risk of PIC. Therefore, incorporating strategies to do that into daily ICU practice for both COVID-19 patients and those critically ill from other conditions is significantly important.

摘要

在2019年冠状病毒病(COVID-19)大流行期间,临床工作人员学会了如何管理在重症监护病房(ICU)长期住院的患者。需要在ICU进行重症监护的COVID-19患者面临着长时间重症监护(PIC)的高风险。在患有严重急性呼吸窘迫综合征的个体中使用有创机械通气会导致许多并发症,这些并发症会影响短期和长期的发病率和死亡率。这些风险凸显了积极应对功能性并发症的重要性。减轻与入院时主要病理无关的继发性并发症对于将PIC风险降至最低至关重要。因此,将相关策略纳入COVID-19患者以及因其他病症而重症的患者的日常ICU实践中非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05ff/11002617/dea80242db05/acc-2023-01284f1.jpg

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