危重病医学PPT.ppt

Critical Care Medicine Dr. Huang Peizhi Zhongshan Hospital of Fudan Universit What is critical care medicine？ Multidisciplinary healthcare specialty cares for patients with acute, life-threatening illness or injury which including continuum of life support from the scene through discharge Coordinated care systems, analysis of treatment options, protocols, guidelines for the care of individual patients Monitoring and therapy Intensive care medicine in Europe What is critical illness ? A condition where life cannot be sustained without invasive therapeutic interventions Characterized by acute loss of physiologic reserve Cardiac arrest, shock, sepsis, severe trauma, coma Dysfunction of one or more organ systems : hemodynamic insufficiency, respiratory failure , abnormalities of fluid and electrolytes Characters of CCM (1) life support from site of accident to injury during transportation and management in emergency department (ED) and to surgical intervation in operating room or in intensive care unit (ICU) Require emergency medicine and Intensive care medicine Characters of CCM (2) Team action by physicians with various specialty backgrounds Added expertise in resuscitation No focus of interest to a single body system, but wide variety of illness Intensivist - ability to provide effective critical care is in all cases  Intensive Care Unit (ICU) What is ICU ? Multidisciplinary multi-professional medical/nursing field A very high nurse to patient ratio (3-4:1) The availability of invasive monitoring The use of mechanical and pharmacological life sustaining therapies (mechanical ventilation, vasopressors, continuous dialysis, defibrillation, pacemaker) Service in ICU Elementary service Bedside monitor system Treatment equipment Experiment instrument ? Elementary Service Patient area (special functional bed and bedside monitor) Central monitorin