首页> 中文期刊>国际脑血管病杂志 >神经重症监护患者的液体治疗:ESICM专家共识及临床实践推荐

神经重症监护患者的液体治疗:ESICM专家共识及临床实践推荐

摘要

目的 发布欧洲重症医学学会(European Society of Intensive Care Medicine,ESICM)关于神经重症监护患者液体治疗的专家共识和临床实践推荐意见.设计 在2016年10月召开的ESICM LIVE 2016会议上召集了一个由22名国际专家组成的共识委员会,随后委员会成员通过电话会议和在线讨论制定本专家共识.方法 回顾人群、干预、对比和结局(population,intervention,comparison,and outcomes,PICO)问题,根据需要进行更新并得到证据概要.本共识关注3个主要议题:(1)神经重症监护患者的液体复苏和维持;(2)高渗液体在颅内压控制中的应用;(3)蛛网膜下腔出血后迟发性脑缺血的液体管理.经过广泛的文献检索,应用推荐分级的评估、制订与评价(Grading of Recommendations Assessment,Development and Evaluation,GRADE)系统原则评估证据质量(从高到极低),制定治疗推荐(强或弱),并在适用时发布最佳实践声明.基于文献和专家意见提供的综合证据,应用改良德尔菲方法(使用序贯方法以避免偏倚和误解)产生最终共识声明.结果 最终共识包含总共32条声明,其中13条为强推荐,17条为弱推荐,另外2条声明未提供推荐意见.结论 我们发布了一份关于神经重症监护患者液体治疗的共识声明和临床实践推荐.

著录项

  • 来源
    《国际脑血管病杂志》|2019年第2期|84-97|共14页
  • 作者单位

    Department of Medical-Surgical Intensive Care Medicine, Faculty of Biology and Medicine, Centre Hospitalier Universitaire VauDOIs(CHUV), University of Lausanne, Rue du Bugnon 46, BH 08.623,1011 Lausanne, Switzerland;

    Service de Réanimation Médico-chirurgicale, H(o)pital Pasteur 2,UniversitéC(o)te d'Azur, CHU de Nice, 06000 Nice, France;

    Unité CNRS 7275, Sophia-Antipolis, France;

    Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium;

    Neurosciences Critical Care, Departments of Anesthesiology and Critical Care Medicine,Neurology, and Neurosurgery, Johns Hopkins University, Baltimore, MD,USA;

    Department of Neurology, University of California San Francisco,San Francisco, CA, USA;

    Service de Réanimation Polyvalente, H(o)pital Pasteur 2, CHU de Nice, 30 Voie Romaine, CS 51069, 06001 Nice Cedex 1,France;

    Division of Anaesthesia, University of Cambridge, Addenbrooke's Hospital, Box 93, Hills Road, Cambridge, Cambridgeshire CB2 2QQ, UK;

    Department of Anesthesia and Critical Care, CHU Grenoble Alpes, 38000 Grenoble, France;

    Department of Intensive Care 4131, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark;

    Department of Neuroanesthesia and Neurocritical Care, The National Hospital for Neurosurgery and Neurology,University College London Hospitals, London, UK;

    Neurosciences Critical Care, Departments of Anesthesiology and Critical Care Medicine,Neurology, and Neurosurgery, Johns Hopkins University, Baltimore, MD,USA;

    Anesthesia and Intensive Care Operative Unit,S.Martino Hospital, Belluno, Italy;

    Hospital Nacional Professor Alejandro Posadas, Buenos Aires, Argentina;

    Department of Neurosciences, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri,Milan, Italy;

    School of Medicine and Surgery, University of Milan-Bicocca,Milan, Italy;

    Neurointensive Care, San Gerardo Hospital, ASST-Monza,20900 Monza, Italy;

    南方医科大学南方医院神经内科,广州510515;

    南方医科大学南方医院神经内科,广州510515;

    南方医科大学南方医院神经内科,广州510515;

    南方医科大学南方医院神经内科,广州510515;

    Neurological Intensive Care Unit,Department of Neurology, Medical University of Innsbruck, Innsbruck,Austria;

    Department of Intensive Care Medicine, University Hospitals Leuven, Louvain, Belgium;

    Neuroscience Intensive Care Unit, Department of Anesthesia and Critical Care, Fondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico, Milan, Italy;

    Department of Pathophysiology and Transplants, University of Milan, Milan, Italy;

    Department of Anesthesia and Critical Care, CHU Grenoble Alpes, 38000 Grenoble, France;

    Department of Anaesthesia and Intensive Care, St.George's University Hospital, London, UK;

    Department of Anaesthesia and Intensive Care,Toulouse University Hospital, University Toulouse 3-Paul Sabatier, 31059 Toulouse, France;

    Department of Intensive Care Medicine, St James's University Hospital, James's St, Ushers, P.O.Box 580, Dublin 8, Ireland;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类
  • 关键词

    循证医学; 指南; 液体治疗; 创伤性脑损伤; 蛛网膜下腔出血; 脑出血; 卒中; 甘露醇; 高渗; 神经重症监护;

  • 入库时间 2023-07-25 17:36:41

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