Sedation and analgesia therapy are essential in neurocritical care,but there are ongoing controversies surrounding assessment,administration,and withdrawal.With advances in neurocritical care medicine,updated evidence...Sedation and analgesia therapy are essential in neurocritical care,but there are ongoing controversies surrounding assessment,administration,and withdrawal.With advances in neurocritical care medicine,updated evidence-based medicine,considering the variability in knowledge and practice,the National Center for Healthcare Quality Management in Neurological Diseases and the Chinese Society of Critical Care Medicine organized experts in neurocritical care to form a working group[Supplementary File 1,http://links.lww.com/CM9/B958]to update the“Expert Consensus on Sedation and Analgesia for Patients with Severe Brain Injury(2013)”.展开更多
The Chinese Society of Critical Care Medicine(CSCCM)has developed clinical practice guidelines for nutrition assessment and monitoring for patients in adult intensive care units(ICUs)in China.This guideline focuses on...The Chinese Society of Critical Care Medicine(CSCCM)has developed clinical practice guidelines for nutrition assessment and monitoring for patients in adult intensive care units(ICUs)in China.This guideline focuses on nutrition evaluation and metabolic monitoring to achieve optimal and personalized nutrition therapy for critically ill patients.This guideline was developed by experts in critical care medicine and evidence-based medicine methodology and was developed after a thorough review of the system and a summary of relevant trials or studies published from 2000 to July 2023.A total of 18 recommendations were formed and consensus was reached through discussions and reviews by expert groups in critical care medicine,parenteral and enteral nutrition,and surgery.The recommendations are based on currently available evidence and cover several key fields,including screening and assessment,evaluation and assessment of enteral feeding intolerance,metabolic and nutritional measurement and monitoring during nutrition therapy,and organ function evaluation related to nutrition supply.Each question was analyzed according to the Population,Intervention,Comparison,and Outcome(PICO)principle.In addition,interpretations were provided for four questions that did not reach a consensus but may have potential clinical and research value.The plan is to update this nutrition assessment and monitoring guideline using the international guideline update method within 3–5 years.展开更多
This consensus focuses on severe and critical coronavi-rus disease 2019(COVID-19)mainly based on the consideration that mortality of severe and critical cases is higher than mild and mo derate cases of COVID-19.Severe...This consensus focuses on severe and critical coronavi-rus disease 2019(COVID-19)mainly based on the consideration that mortality of severe and critical cases is higher than mild and mo derate cases of COVID-19.Severe patients usually developed dyspnea and/or hypoxemia in a short period of time,and in some cases progressively developed respiratory failure,septic shock,coagulation disorders,and multi-organ dysfunction.展开更多
基金Beijing Municipal Science and Technology Commission(No.Z201100005520050)Beijing Municipal Health Commission(No.BHTPP2022026)
文摘Sedation and analgesia therapy are essential in neurocritical care,but there are ongoing controversies surrounding assessment,administration,and withdrawal.With advances in neurocritical care medicine,updated evidence-based medicine,considering the variability in knowledge and practice,the National Center for Healthcare Quality Management in Neurological Diseases and the Chinese Society of Critical Care Medicine organized experts in neurocritical care to form a working group[Supplementary File 1,http://links.lww.com/CM9/B958]to update the“Expert Consensus on Sedation and Analgesia for Patients with Severe Brain Injury(2013)”.
文摘The Chinese Society of Critical Care Medicine(CSCCM)has developed clinical practice guidelines for nutrition assessment and monitoring for patients in adult intensive care units(ICUs)in China.This guideline focuses on nutrition evaluation and metabolic monitoring to achieve optimal and personalized nutrition therapy for critically ill patients.This guideline was developed by experts in critical care medicine and evidence-based medicine methodology and was developed after a thorough review of the system and a summary of relevant trials or studies published from 2000 to July 2023.A total of 18 recommendations were formed and consensus was reached through discussions and reviews by expert groups in critical care medicine,parenteral and enteral nutrition,and surgery.The recommendations are based on currently available evidence and cover several key fields,including screening and assessment,evaluation and assessment of enteral feeding intolerance,metabolic and nutritional measurement and monitoring during nutrition therapy,and organ function evaluation related to nutrition supply.Each question was analyzed according to the Population,Intervention,Comparison,and Outcome(PICO)principle.In addition,interpretations were provided for four questions that did not reach a consensus but may have potential clinical and research value.The plan is to update this nutrition assessment and monitoring guideline using the international guideline update method within 3–5 years.
基金supported by a grant from the Shanghai Science and Technology Commission(No.20DZ2200500).
文摘This consensus focuses on severe and critical coronavi-rus disease 2019(COVID-19)mainly based on the consideration that mortality of severe and critical cases is higher than mild and mo derate cases of COVID-19.Severe patients usually developed dyspnea and/or hypoxemia in a short period of time,and in some cases progressively developed respiratory failure,septic shock,coagulation disorders,and multi-organ dysfunction.
