重症监护病房急性肾损伤患者的姑息治疗。

Vinod Krishnappa, William Hein, Daniel DelloStritto, Mona Gupta, Rupesh Raina
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引用次数: 1

摘要

重症监护病房(ICU)的急性肾损伤(AKI)患者由于症状负担高,通常适合姑息治疗。姑息治疗在这一患者群体中的作用没有得到很好的界定,也缺乏解决这一问题的既定指南。正因为如此,ICU的AKI患者被剥夺了最全面或适当的护理。造成这种情况的原因是多方面的,包括肾病学家缺乏姑息治疗培训。然而,对这些患者进行姑息治疗可以帮助缓解症状,改善生活质量,减少痛苦。姑息治疗医生可以确定姑息治疗的适当性和模式。除了共同决策外,应尽早与患者建立预先指示,对透析有具体指示,并应尊重这些预先指示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Palliative care for acute kidney injury patients in the intensive care unit.

Patients with acute kidney injury (AKI) in the intensive care unit (ICU) are often suitable for palliative care due to the high symptom burden. The role of palliative medicine in this patient population is not well defined and there is a lack of established guidelines to address this issue. Because of this, patients in the ICU with AKI deprived of the most comprehensive or appropriate care. The reasons for this are multifactorial including lack of palliative care training among nephrologists. However, palliative care in these patients can help alleviate symptoms, improve quality of life, and decrease suffering. Palliative care physicians can determine the appropriateness and model of palliative care. In addition to shared decision-making, advance directives should be established with patients early on, with specific instructions regarding dialysis, and those advance directives should be respected.

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