Keller R, Wolff G
Schweiz Med Wochenschr. 1979 Oct 20;109(40):1507-9.
Patients with acute severe respiratory insufficiency can only be correctly monitored, treated and nursed in a well-equipped intensive care unit staffed with well-trained personnel. Qualified doctors and nursing staff are more important for the monitoring and assessment of the patient's symptoms than highly sophisticated electronic monitoring systems. Continuous controls of vital and mechanical functions are however essential , as are the services of well-run laboratories. Treatment calls, above all, for the use of efficient and reliable respirators capable of adjustment to suit the impaired breathing. The quality of nursing and the success of intensive medical care measures are best ensured by well-designed layouts, strict adherence to sensible and appropriate hygienic techniques, continuous and practice-related further education for personnel, and unrestricted communication inside and outside the intensive care unit.
急性严重呼吸功能不全患者只有在设备完善、配备训练有素人员的重症监护病房才能得到正确的监测、治疗和护理。合格的医生和护理人员对于监测和评估患者症状比高度复杂的电子监测系统更为重要。然而,对生命体征和机械功能进行持续监测至关重要,运行良好的实验室服务也同样重要。治疗首先需要使用高效可靠、能够根据受损呼吸情况进行调节的呼吸机。精心设计的布局、严格遵守合理适当的卫生技术、对人员进行持续且与实践相关的继续教育,以及重症监护病房内外的无限制沟通,才能最好地确保护理质量和强化医疗护理措施的成功。