The intensity of organ support: Restrictive or aggressive therapy for critically ill patients

被引：2

作者：

Li, Hongxiang ^{[1
]}

Li, Yuting ^{[1
]}

Fu, Yao ^{[1
]}

Zhang, Xinyu ^{[1
]}

Zhang, Dong ^{[1
]}

机构：

[1] First Hosp Jilin Univ, Dept Intens Care Med, Changchun 130021, Jilin, Peoples R China

来源：

JOURNAL OF INTENSIVE MEDICINE | 2023年 / 3卷 / 04期

关键词：

Critically ill patients; Organ support; Aggressive therapy; Restrictive therapy; Prognosis; RENAL-REPLACEMENT THERAPY; GOAL-DIRECTED THERAPY; ACUTE LUNG INJURY; SEPTIC SHOCK; OXYGEN-THERAPY; SEVERE SEPSIS; TRANSFUSION; MORTALITY; TRIAL; FLUID;

D O I：

10.1016/j.jointm.2023.04.002

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The intensity of organ support has received attention in recent years. To make better clinical decisions, we should understand the mechanisms and benefits, and disadvantages of the different intensities of organ support in critically ill patients. Therapeutic strategies such as supplemental oxygen therapy, mechanical ventilation, respiratory stimulant, vasoactive agents, transfusion, albumin infusion, fluid management, renal placement, and nutrition support, if they are implemented in accordance with an aggressive strategy, could result in side effects and/or complications, resulting in iatrogenic harm in critically ill patients. It is found that the intensity of organ support is not a determining factor in prognosis. A normal rather than supernormal physiological target is recommended for support therapy.

引用

页码：298 / 302

页数：5

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