Frey R, Rheindorf P
HNO. 1976 Jul;24(7):217-20.
In intensive medicine we distinguish between intensive care units which have mostly observatory and monitoring functions and intensive therapy units. For the surgical patients of the ear, nose, and throat department the intensive care units are probably of greater significance. The following play an important role: Preoperative work-up including laboratory fluoroscopy and x-rays, pulmonary function tests and blood gas analysis; induction of anesthesia, access to good veins, gastric intubation, urinary bladder catheterization; maintenance of anesthesia and postoperative observation, fluid balance, oral and parenteral feeding, tracheostomy care, bronchial toilet; inhalation therapy. The last receives an extensive discussion.
在重症医学中,我们区分主要具有观察和监测功能的重症监护病房和重症治疗病房。对于耳鼻喉科的外科患者,重症监护病房可能具有更重要的意义。以下方面发挥着重要作用:术前检查,包括实验室透视和X光检查、肺功能测试和血气分析;麻醉诱导、良好静脉通路的建立、胃插管、膀胱插管;麻醉维持和术后观察、液体平衡、口服和胃肠外营养、气管造口护理、支气管灌洗;吸入疗法。最后一项将进行广泛讨论。