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

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