儿科重症监护有哪些新进展?

IF 4.7 3区 医学 Q1 ANESTHESIOLOGY Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-06-01 DOI:10.1016/j.bpa.2024.03.004
R. Haghedooren , T. Schepens
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引用次数: 0

摘要

儿科重症监护医学是一个快速发展的医学领域,最近发表了一些专门针对儿科人群的里程碑式论文。机械通气模式取得了进展,包括小儿 ARDS 和拔管失败后的无创通气,并更新了呼吸机解放指南。血液动力学支持技术的改进和进步使我们能够更好地护理心脏病患者。儿童败血症的负担仍然很重,我们将继续努力提高存活率。以个性化需求为重点、量身定制的营养计划可为我们的患者带来益处。镇静方法和指南已经更新,重点是尽量减少谵妄和促进早期移动。本手稿重点介绍了一些最新进展和更新内容。
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What's new in pediatric critical care?

Pediatric intensive care medicine is a rapidly evolving field of medicine, with recent publication of landmark papers specific for the pediatric population. Progress has been made in modes of mechanical ventilation, including noninvasive ventilation in pediatric ARDS and after extubation failure, with updated guidelines on ventilator liberation. Improved technology and advancements in hemodynamic support allow for better care of our patients with heart disease. Sepsis burden in children remains high and continued efforts are made to improve survival. A nutritional plan with a tailored approach, focusing on individualized needs, could offer benefits for our patients. Sedation practices and guidelines have been updated, focusing on minimizing delirium and facilitating early mobility. This manuscript highlights some of the most recent advances and updates.

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来源期刊
自引率
0.00%
发文量
37
审稿时长
36 days
期刊最新文献
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