A conceptual approach to improving care in pandemics and beyond: Severe lung injury centers

被引:12
作者
Adalja, Amesh A. [1 ]
Watson, Matthew [1 ]
Waldhorn, Richard E. [2 ]
Toner, Eric S. [1 ]
机构
[1] UPMC, Ctr Biosecur, Baltimore, MD 21202 USA
[2] Georgetown Univ, Sch Med, Div Pulm Crit Care & Sleep Med, Washington, DC USA
关键词
Pandemic; Influenza; Critical care regionalization; ARDS; ECMO; Mechanical ventilation; EXTRACORPOREAL MEMBRANE-OXYGENATION; 2009 INFLUENZA A(H1N1); CRITICALLY-ILL PATIENTS; INTENSIVE-CARE; UNITED-STATES; MECHANICAL VENTILATION; HOSPITAL VOLUME; MORTALITY; SERVICES; H1N1;
D O I
10.1016/j.jcrc.2012.09.016
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The events of the 2009 influenza pandemic sparked discussion regarding the need to optimize delivery of care to those most severely ill. We propose in this conceptual study that a tiered regionalization care system be instituted for patients with severe acute respiratory distress syndrome. Such system would be a component of national pandemic plans and could also be used in day-to-day operations. (c) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:318.e9 / 318.e15
页数:7
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