危重症新型冠状病毒肺炎患者后ICU综合征呼吸康复推荐意见
Recommendation of respiratory rehabilitation for PICS in critically ill patients with COVID-19
摘要危重症新型冠状病毒肺炎(COVID-19)幸存者在离开ICU后依然存在不同程度的躯体、认知和精神障碍等后ICU综合征(PICS)表现,对患者进行呼吸康复综合干预对最大限度减少致残率,降低医疗费用,增加社会参与度至关重要。我们结合已有的治疗经验并查阅相关文献证据,就ICU后病房管理和出院后居家管理2个阶段的呼吸康复的评估和干预措施给出推荐意见,基于中国经验,构建呼吸与危重症医学科(pulmonary and critical care medicine,PCCM)医生为主导的多学科团队管理流程。并根据危重症COVID-19幸存者的潜在传染风险提出相应的防护建议。
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abstractsThe critically illsurvivors with COVID-19 have Post-Intensive Care Syndrome (PICS) manifestations of varying degrees of physical, cognitive, and mental disorders after discharge from the Intensive Care Unit. Comprehensive respiratory rehabilitation interventions for patients are essential to minimize disability rate, reduce medical costs, and increase social participation. Integrated the existing treatment experience and relevant literature evidence, we recommend the evaluation and intervention of respiratory rehabilitation in the two stages of discharge ICUto ward and home. Based on Chinese experience, a PCCM physician-led multidisciplinary team management process was constructed. Personal protection recommendations were made based on the potential risk of infection among critically ill COVID-19 survivors.
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