21 世纪重症医学:概述

Smitesh Padte, Vikramaditya Samala Venkata, Priyal Mehta, Sawsan Tawfeeq, Rahul Kashyap, Salim R Surani
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摘要

21 世纪的重症监护医学取得了显著进步,大大改善了重症监护病房 (ICU) 患者的治疗效果。本摘要简明扼要地总结了重症监护领域的最新进展,突出强调了创新的关键领域。重症监护领域的最新进展包括精准医学:根据患者个体特征、基因组学和生物标记物定制治疗方案,以提高治疗效果。目的是介绍重症医学的最新进展。远程医疗:整合远程医疗技术,对患者进行远程监测和咨询,促进及时干预。人工智能(AI):人工智能驱动的早期疾病检测、预测分析和治疗优化工具,可加强临床决策。器官支持:先进的生命支持系统,如体外膜氧合和连续性肾脏替代疗法,可提供更好的器官支持。感染控制:创新的感染控制措施可对抗新出现的病原体并减少医疗相关感染。通气策略:精确的通气模式和肺保护策略,最大限度地减少呼吸机诱发的肺损伤。败血症管理:通过量身定制的干预措施及早识别并积极治疗败血症。以患者为中心的护理:转向以患者为中心的护理,除医疗需求外,还关注心理和情感健康。我们采用量身定制的策略在 PubMed、EMBASE 和 Scopus 上进行了全面的文献检索,将重症监护、远程医疗和败血症管理等关键词纳入其中。共有 125 篇符合我们标准的文章被纳入定性综述。为确保可靠性,我们只关注过去二十年内用英语发表的文章,排除了动物研究、体外/分子研究以及社论、信件、协议和会议摘要等非原创数据。这些进步反映了重症监护医学的动态发展,技术、研究和以患者为中心的方法在重症监护病房中相互融合,以提高护理质量和挽救生命。重症监护的未来有望出现更多创新解决方案,以应对现代医学不断发展的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
21st century critical care medicine: An overview
Critical care medicine in the 21st century has witnessed remarkable advancements that have significantly improved patient outcomes in intensive care units (ICUs). This abstract provides a concise summary of the latest developments in critical care, highlighting key areas of innovation. Recent advancements in critical care include Precision Medicine: Tailoring treatments based on individual patient characteristics, genomics, and biomarkers to enhance the effectiveness of therapies. The objective is to describe the recent advancements in Critical Care Medicine. Telemedicine: The integration of telehealth technologies for remote patient monitoring and consultation, facilitating timely interventions. Artificial intelligence (AI): AI-driven tools for early disease detection, predictive analytics, and treatment optimization, enhancing clinical decision-making. Organ Support: Advanced life support systems, such as Extracorporeal Membrane Oxygenation and Continuous Renal Replacement Therapy provide better organ support. Infection Control: Innovative infection control measures to combat emerging pathogens and reduce healthcare-associated infections. Ventilation Strategies: Precision ventilation modes and lung-protective strategies to minimize ventilator-induced lung injury. Sepsis Management: Early recognition and aggressive management of sepsis with tailored interventions. Patient-Centered Care: A shift towards patient-centered care focusing on psychological and emotional well-being in addition to medical needs. We conducted a thorough literature search on PubMed, EMBASE, and Scopus using our tailored strategy, incorporating keywords such as critical care, telemedicine, and sepsis management. A total of 125 articles meeting our criteria were included for qualitative synthesis. To ensure reliability, we focused only on articles published in the English language within the last two decades, excluding animal studies, in vitro /molecular studies, and non-original data like editorials, letters, protocols, and conference abstracts. These advancements reflect a dynamic landscape in critical care medicine, where technology, research, and patient-centered approaches converge to improve the quality of care and save lives in ICUs. The future of critical care promises even more innovative solutions to meet the evolving challenges of modern medicine.
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