Protocols in the management of critical illness

被引：32

作者：

Chang, Steven Y. ^{[1
]}

Sevransky, Jon ^{[2
]}

Martin, Greg S. ^{[3
]}

机构：

[1] Univ Med & Dent New Jersey, New Jersey Med Sch, Div Pulm & Crit Care Med, Newark, NJ 07103 USA

[2] Emory Univ, Sch Med, Div Pulm Allergy & Crit Care, Atlanta, GA 30322 USA

[3] Emory Univ, Sch Med, Div Pulm Allergy & Crit Care, Atlanta, GA 30303 USA

来源：

CRITICAL CARE | 2012年 / 16卷 / 02期

关键词：

INTENSIVE INSULIN THERAPY; MECHANICAL VENTILATION; CLINICAL-TRIAL; SEVERE SEPSIS; MORTALITY; HYDROCORTISONE; MULTICENTER; GUIDELINES; DURATION; EFFICACY;

D O I：

10.1186/cc10578

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Care of the critically ill patient is becoming increasingly complex. Protocols, which standardize care of patients with similar diseases, represent a potential solution to managing multiple simultaneous problems in critically ill patients. In this article, we examine the advantages and disadvantages to care protocolization, and posit that careful and thoughtful implementation of protocols is likely to benefit patients. We also discuss the potential for unintended consequences, and even harm, with protocolization in critically ill patients using the Critical Illness Outcomes Study as a model to examine the effects of protocolization in large populations of intensive care patients.

引用

页数：6

共 40 条

[1] Critical illness outcome study: an observational study of protocols and mortality in intensive care units [J].

Ali, Naeem A. ;

Gutteridge, David ;

Shahul, Sajid ;

Checkley, William ;

Sevransky, Jonathan ;

Martin, Greg S. .

OPEN ACCESS JOURNAL OF CLINICAL TRIALS, 2011, 3 :55-65

[2] Effect of treatment with low doses of hydrocortisone and fludrocortisone on mortality in patients with septic shock [J].

Annane, D ;

Sébille, V ;

Charpentier, C ;

Bollaert, PE ;

François, B ;

Korach, JM ;

Capellier, G ;

Cohen, Y ;

Azoulay, E ;

Troché, G ;

Chaumet-Riffaut, P ;

Bellissant, E .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (07) :862-871

[3] Efficacy and safety of recombinant human activated protein C for severe sepsis. [J].

Bernard, GR ;

Vincent, JL ;

Laterre, P ;

LaRosa, SP ;

Dhainaut, JF ;

Lopez-Rodriguez, A ;

Steingrub, JS ;

Garber, GE ;

Helterbrand, JD ;

Ely, EW ;

Fisher, CJ .

NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (10) :699-709

[4] Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia [J].

Bernard, SA ;

Gray, TW ;

Buist, MD ;

Jones, BM ;

Silvester, W ;

Gutteridge, G ;

Smith, K .

NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (08) :557-563

[5] Intensivists' base specialty of training is associated with variations in mortality and practice patterns [J].

Billington, Emma O. ;

Zygun, David A. ;

Stelfox, H. Tom ;

Peets, Adam D. .

CRITICAL CARE, 2009, 13 (06) :R209

[6] Use of weaning protocols for reducing duration of mechanical ventilation in critically ill adult patients: Cochrane systematic review and meta-analysis [J].

Blackwood, Bronagh ;

Alderdice, Fiona ;

Burns, Karen ;

Cardwell, Chris ;

Lavery, Gavin ;

O'Halloran, Peter .

BMJ-BRITISH MEDICAL JOURNAL, 2011, 342 :214

[7] Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. [J].

Brower, RG ;

Matthay, MA ;

Morris, A ;

Schoenfeld, D ;

Thompson, BT ;

Wheeler, A ;

Wiedemann, HP ;

Arroliga, AC ;

Fisher, CJ ;

Komara, JJ ;

Perez-Trepichio, P ;

Parsons, PE ;

Wolkin, R ;

Welsh, C ;

Fulkerson, WJ ;

MacIntyre, N ;

Mallatratt, L ;

Sebastian, M ;

McConnell, R ;

Wilcox, C ;

Govert, J ;

Thompson, D ;

Clemmer, T ;

Davis, R ;

Orme, J ;

Weaver, L ;

Grissom, C ;

Eskelson, M ;

Young, M ;

Gooder, V ;

McBride, K ;

Lawton, C ;

d'Hulst, J ;

Peerless, JR ;

Smith, C ;

Brownlee, J ;

Pluss, W ;

Kallet, R ;

Luce, JM ;

Gottlieb, J ;

Elmer, M ;

Girod, A ;

Park, P ;

Daniel, B ;

Gropper, M ;

Abraham, E ;

Piedalue, F ;

Glodowski, J ;

Lockrem, J ;

McIntyre, R .

NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (18) :1301-1308

[8] Intensive insulin therapy and pentastarch resuscitation in severe sepsis [J].

Brunkhorst, Frank M. ;

Engel, Christoph ;

Bloos, Frank ;

Meier-Hellmann, Andreas ;

Ragaller, Max ;

Weiler, Norbert ;

Moerer, Onnen ;

Gruendling, Matthias ;

Oppert, Michael ;

Grond, Stefan ;

Olthoff, Derk ;

Jaschinski, Ulrich ;

John, Stefan ;

Rossaint, Rolf ;

Welte, Tobias ;

Schaefer, Martin ;

Kern, Peter ;

Kuhnt, Evelyn ;

Kiehntopf, Michael ;

Hartog, Christiane ;

Natanson, Charles ;

Loeffler, Markus ;

Reinhart, Konrad .

NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (02) :125-139

[9] Use of Protocols in Older Intensive Care Unit Patients Is Standardization Appropriate? [J].

Casey, Colleen M. ;

Balas, Michele C. .

AACN ADVANCED CRITICAL CARE, 2011, 22 (02) :150-160

[10] Effects of a clinical trial on mechanical ventilation practices in patients with acute lung injury [J].

Checkley, William ;

Brower, Roy ;

Korpak, Anna ;

Thompson, B. Taylor .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2008, 177 (11) :1215-1222

← 1 2 3 4 →