Wilderness Medical Society Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness

被引:206
作者
Luks, Andrew M. [1 ]
McIntosh, Scott E. [2 ]
Grissom, Colin K. [3 ]
Auerbach, Paul S. [4 ]
Rodway, George W. [5 ,6 ]
Schoene, Robert B. [7 ]
Zafren, Ken [4 ,8 ]
Hackett, Peter H. [9 ,10 ]
机构
[1] Univ Washington, Harborview Med Ctr, Div Pulm & Crit Care Med, Seattle, WA 98104 USA
[2] Univ Utah, Div Emergency Med, Salt Lake City, UT USA
[3] Univ Utah, Intermt Med Ctr, Div Pulm & Crit Care Med, Salt Lake City, UT USA
[4] Stanford Univ, Sch Med, Div Emergency Med, Dept Surg, Palo Alto, CA 94304 USA
[5] Univ Utah, Coll Nursing, Salt Lake City, UT 84112 USA
[6] Univ Utah, Sch Med, Salt Lake City, UT 84112 USA
[7] Bozeman Deaconess Hosp, Bozeman, MT USA
[8] Himalayan Rescue Assoc, Kathmandu, Nepal
[9] Univ Colorado Denver, Sch Med, Altitude Res Ctr, Div Emergency Med, Denver, CO USA
[10] Inst Altitude Med, Telluride, CO USA
关键词
high altitude; acute mountain sickness; high altitude pulmonary edema; high altitude cerebral edema; acetazolamide; dexamethasone; nifedipine; salmeterol; tadalafil; sildenafil; ACUTE MOUNTAIN-SICKNESS; PULMONARY-EDEMA; GINKGO-BILOBA; RANDOMIZED-TRIAL; SIMULATED DESCENT; CEREBRAL EDEMA; ACETAZOLAMIDE; DEXAMETHASONE; PROPHYLAXIS; NIFEDIPINE;
D O I
10.1016/j.wem.2010.03.002
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To provide guidance to clinicians about best practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the prevention and treatment of acute mountain sickness (AMS), high altitude cerebral edema (HACE), and high altitude pulmonary edema (HAPE). These guidelines present the main prophylactic and therapeutic modalities for each disorder and provide recommendations for their roles in disease management. Recommendations are graded based on the quality of supporting evidence and balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches to the prevention and management of each disorder that incorporate these recommendations.
引用
收藏
页码:146 / 155
页数:10
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