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Clinical practice guidelines for nutritional assessment and monitoring of adult ICU patients in China

Journal of Intensive medicine 2024年第2期4卷 137-159页

作者： Xiangdong Guan Dechang Chen Yuan Xu chinese society of critical care medicine Department of critical care medicine The First Affiliated Hospital of Sun Yat-sen UniversityGuangzhouChina Department of critical care medicine Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghaiChina Department of critical care medicine Beijing Tsinghua Changgung HospitalBeijingChina 不详

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 *** guideline focuses on nutrition evaluation and metabolic monitoring to achieve optimal and personalized nutrition therapy for critically ill *** 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 *** 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 *** question was analyzed according to the Population,Intervention,Comparison,and Outcome(PICO)*** addition,interpretations were provided for four questions that did not reach a consensus but may have potential clinical and research *** plan is to update this nutrition assessment and monitoring guideline using the international guideline update method within 3–5 years.

关键词： Adults critical illness Intensive care unit Nutriti on Nutriti on assessment and monitoring Guideline Recommendations chinese society of critical care medicine-chinese Medical Association(CSCCM-CMA)

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chinese expert consensus on sedation and analgesia for neurocritical care patients

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chinese Medical Journal 2024年第11期137卷 1261-1263页

作者： Linlin Zhang Shuai Liu Shuya Wang Jian-Xin Zhou the National Center for Healthcare Quality Management in Neurological Diseases chinese society of critical care medicine Working group of the Expert Consensus on Sedation and Analgesia for Neurocritical care Patients Department of critical care medicine Beijing Tiantan HospitalCapital Medical UniversityBeijing 100070China Department of critical care medicine Beijing Shijitan HospitalCapital Medical UniversityBeijing 100038China 不详

Sedation and analgesia therapy are essential in neurocritical care,but there are ongoing controversies surrounding assessment,administration,and *** 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://***/CM9/B958]to update the“Expert Consensus on Sedation and Analgesia for Patients with Severe Brain Injury(2013)”.

关键词： analgesia critical advances

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重症监护病房患者深静脉血栓形成预防指南

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中国危重病急救医学 2009年第9期21卷 514-517页

作者：中华医学会重症医学分会中华医学会重症医学分会

重症监护病房（ICU）患者是深静脉血栓形成（DVT）的高发人群，在DVT的发生、预防和治疗等方面有着明显的特殊性。国内外对DVT的预防已有多个共识或指南，但目前尚缺少针对ICU患者DVT预防的指南。为此，中华医学会重症医学分会组织有关... 详细信息

重症监护病房（ICU）患者是深静脉血栓形成（DVT）的高发人群，在DVT的发生、预防和治疗等方面有着明显的特殊性。国内外对DVT的预防已有多个共识或指南，但目前尚缺少针对ICU患者DVT预防的指南。为此，中华医学会重症医学分会组织有关专家，经过广泛征求意见，采用循证医学的方法制定了本指南。目的是为进一步提高临床医师对ICU患者DVT的认识，并重视其预防。

关键词：深静脉血栓形成重症监护病房指南预防 ICU患者中华医学会 DVT 高发人群

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中国成人ICU患者营养评估与监测临床实践指南

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中华危重病急救医学 2023年第11期35卷 1121-1146页

作者：中华医学会重症医学分会管向东陈德昌许媛不详中山大学附属第一医院重症医学科广州510080 上海交通大学医学院附属瑞金医院重症医学科上海200025 清华大学附属北京清华长庚医院北京102218

为实现监测指导下的危重症个体化营养治疗的理想目标,中华医学会重症医学分会(CSCCM)组织专家制订了针对中国成人重症监护病房(ICU)患者营养评估与监测的临床实践指南。指南构成与编写由重症领域专家及循证指南方法学专家共同完成,经过... 详细信息

为实现监测指导下的危重症个体化营养治疗的理想目标,中华医学会重症医学分会(CSCCM)组织专家制订了针对中国成人重症监护病房(ICU)患者营养评估与监测的临床实践指南。指南构成与编写由重症领域专家及循证指南方法学专家共同完成,经过临床问题收集与遴选,证据检索与系统评价,形成推荐意见并通过重症医学、临床营养学等多学科专家讨论,审阅,达成共识。最终形成基于当前可得证据的18条临床问题的推荐意见,主要涉及营养风险筛查与评估、肠内营养不耐受评估与判断、营养治疗中代谢与营养监测、营养供给相关的器官功能评价几个方面。按照PICO原则对每个问题逐一进行解构。此外,对于未达成共识但可能具有临床意义及进一步研究价值的4个问题进行了诠释。计划在3~5年内按照国际指南更新方法(CheckUp)对本指南的推荐意见进行更新。

关键词：成人危重病重症监护病房营养营养评估与监测指南推荐意见中华医学会重症医学分会

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Expert consensus on the diagnosis and treatment of severe and critical coronavirus disease 2019

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chinese Medical Journal 2022年第16期135卷 1913-1916页

作者： You Shang Jianfeng Wu Jinglun Liu Yun Long Jianfeng Xie Dong Zhang Bo Hu Yuan Zong Xuelian Liao Xiuling Shang Renyu Ding Kai Kang Jiao Liu Ajun Pan Yonghao Xu Changsong Wang Qianghong Xu Xjing Zhang Jicheng Zhang Ling Liu Jiancheng Zhang Yi Yang Kajiang Yu Xiangdong Guan Dechang Chen chinese society of critical care medicine chinese Medical Association Department of critical care medicine Union HospitalTongji Medical CllegeHuazhong University of Science and TechnologyWuhanHubei 430022China Department of critical care medicine The First Afiliated Hospital of Sun Yat-Sen UniversityGuangzhouGuangdong 510010China Department of Emergency and critical care medicine The First Afiliated Hospital of Chongqing Medical UniversityChongqing 400016China Department of critical caremedicine Peking Union Medical College HospitalPeking Union Medical CllegeChinee Academy of Medical Science Bejing 10073 China eparmentof criticalcare medicine Jiangsu Provincial Key Laboratoryf Critical Care Medicine Zhongda HospitalSchool of Medicine Southeast UniversityNanjng Jiangsu 210009China Department of critical care medicine The First Hospital of Jiin UniversityChangchunJilin 130021China Department of critical care medicine Zhongnan Hospital of Wuhan UniversityWuhanHubei 430071China Department of critical care medicine Shanxi Provincial HospitalXi'anShannxi 710068China Department of critical care medicine West China HospitalSichuan UniversityChengduSichuan 610041China Deparment of Crial care medicine Fujian Provincial HospitaFujian Provincial Center for Crtical Care MedicineFuzhouFujan 350001China Department of critical care medicine The First Hospital of China Medical UniversityShenyangLiaoning 110001China Department of Critial care Medicin The First Afliated Hospital of Harbin Medical UuniversityHarbinHelongjiang 150001China Department of critical care medicine Rujin HospitalShanghai Jjao Tong University School of MedicineShanghai 200025China Department of Crtical care medicine The First Affiliatd Hospital of USTCDivision of Life Science and MedicineUniversity of Science and Technology of ChinaHefei Anhui 230001China Department of critical care medicine The First Affliated Hospital of Guangzhou Medical UniversityGuangzhouGuangdong 510120China Department of Crical care medicine Harbin Medical Universit Cancer HospitalHarbinHelongjang 150001

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 *** 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.

关键词： diagnosis mortality critical

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Expert consensus on the diagnosis and treatment of severe and critical coronavirus disease 2019(COVID-19)

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Journal of Intensive medicine 2022年第4期2卷 199-222页

作者： You Shang Jianfeng Wu Jinglun Liu Yun Long Jianfeng Xie Dong Zhang Bo Hu Yuan Zong Xuelian Liao Xiuling Shang Renyu Ding Kai Kang Jiao Liu Aijun Pan Yonghao Xu Changsong Wang Qianghong Xu Xijing Zhang Jicheng Zhang Ling Liu Jiancheng Zhang Yi Yang Kaijiang Yu Xiangdong Guan Dechang Chen chinese society of critical care medicine,chinese Medical Association Department of critical care medicine Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei 430022China Department of critical care medicine The First Affiliated Hospital of Sun Yat-Sen UniversityGuangzhouGuangdong 510010China Department of Emergency and critical care medicine The First Affiliated Hospital of Chongqing Medical UniversityChongqing 400016China Department of critical care medicine Peking Union Medical College HospitalPeking Union Medical CollegeChinese Academy of Medical ScienceBeijing 100730China Department of critical care medicine Jiangsu Provincial Key Laboratory of Critical Care MedicineZhongda HospitalSchool of MedicineSoutheast UniversityNanjingJiangsu 210009China Department of critical care medicine The First Hospital of Jilin UniversityChangchunJilin 130021China Department of critical care medicine Zhongnan Hospital of Wuhan UniversityWuhanHubei 430071China Department of critical care medicine Shaanxi Provincial HospitalXi’anShannxi 710068China Department of critical care medicine West China HospitalSichuan UniversityChengduSichuan 610041China Department of critical care medicine Fujian Provincial HospitalFujian Provincial Center for Critical Care MedicineFuzhouFujian 350001China Department of critical care medicine The First Hospital of China Medical UniversityShenyangLiaoning 110001China Department of critical care medicine The First Affiliated Hospital of Harbin Medical UniversityHarbinHeilongjiang 150001China Department of critical care medicine Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200025China Department of critical care medicine The First Affiliated Hospital of USTCDivision of Life Science and MedicineUniversity of Science and Technology of ChinaHefeiAnhui 230001China Department of critical care medicine The First Affiliated Hospital of Guangzhou Medical UniversityGuangzhouGuangdong 510120China Department of critical care medicine Harbin Medical University Cance

Introduction Coronavirus disease 2019(COVID-19),a disease caused by severe acute respiratory syndrome-coronavirus-2(SARS-CoV-2),is highly contagious[1]and has developed into a global *** to July 1,2022,COVID-19 has affected>200 coun-tries and regions across the globe and caused 545,226,550 con-firmed cases and 6334,728 deaths,[2]seriously compromising human life,public properties.

关键词： diagnosis acute respiratory

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中国成人ICU患者营养评估与监测临床实践指南

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中华重症医学电子杂志 2023年第4期9卷 321-348页

作者：中华医学会重症医学分会管向东陈德昌许媛不详中山大学附属第一医院重症医学科上海交通大学医学院附属瑞金医院重症医学科清华大学附属北京清华长庚医院重症医学科

关键词：成人危重病重症医学科营养营养评估与监测指南推荐意见中华医学会重症医学分会

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机械通气患者临床应用机械吸-呼技术专家建议(2024)

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中华危重病急救医学 2024年第8期36卷 785-795页

作者：中国病理生理学会危重病医学专业委员会北京整合医学学会重症医学分会《机械通气患者临床应用机械吸-呼技术专家建议(2024)》工作组王越夫朱凤雪周建新刘阳苗明月不详首都医科大学附属北京世纪坛医院外科重症医学科急危重症医学中心北京100038 北京大学人民医院重症医学科北京100044 中国病理生理学会危重病医学专业委员会北京100038

机械通气患者是咳嗽能力受损的高发群体,需采取相应的医疗技术进行咳嗽辅助,以便清除气道分泌物。机械吸-呼技术(MI-E)在神经肌肉疾病导致的咳嗽无力患者中得到广泛应用,但是对于保留人工气道的机械通气患者,目前尚缺乏规范的应用流程,... 详细信息

机械通气患者是咳嗽能力受损的高发群体,需采取相应的医疗技术进行咳嗽辅助,以便清除气道分泌物。机械吸-呼技术(MI-E)在神经肌肉疾病导致的咳嗽无力患者中得到广泛应用,但是对于保留人工气道的机械通气患者,目前尚缺乏规范的应用流程,进而影响到治疗效果。由中国病理生理学会危重病医学专业委员会等发起,组织重症医师、护士、呼吸治疗师等专家聚焦MI-E在机械通气患者中的临床应用,经过系统检索、提取及汇总国内外循证医学证据及临床经验,提出建议,并通过改良德尔菲法形成《机械通气患者临床应用机械吸-呼技术专家建议(2024)》,为科学规范地应用该技术提供参考。同时,本专家建议也将为今后开展机械通气患者应用MI-E的临床研究提供借鉴。

关键词：机械通气气道廓清机械吸-呼技术专家建议

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中国多黏菌素类抗菌药物临床合理应用多学科专家共识

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中华结核和呼吸杂志 2021年第4期44卷 292-310页

作者：中国医药教育协会感染疾病专业委员会中华医学会呼吸病学分会中华医学会重症医学分会中华医学会血液学分会中华医学会细菌感染与耐药防治分会中国药学会药物临床评价研究专业委员会全球华人临床微生物与感染学会刘又宁俞云松李健施毅不详解放军总医院第一临床医学中心呼吸与危重症医学部北京100853 浙江大学医学院附属邵逸夫医院感染病科杭州310016 Biomedicine Discovery Institute Monash UniversityVIC 3800Australia 解放军东部战区总医院呼吸与危重症医学科南京210002

多黏菌素类抗菌药物问世于20世纪50年代末,后来因同样有效但更安全的新药不断问世而逐渐淡出临床。到了20世纪80年代,随着多重耐药革兰阴性菌的增多,此类药物重新受到重视而重返临床。但由于其上市时间早,至今仍有许多问题给临床造成困... 详细信息

多黏菌素类抗菌药物问世于20世纪50年代末,后来因同样有效但更安全的新药不断问世而逐渐淡出临床。到了20世纪80年代,随着多重耐药革兰阴性菌的增多,此类药物重新受到重视而重返临床。但由于其上市时间早,至今仍有许多问题给临床造成困惑。因此,由中国医药教育协会感染疾病专业委员会牵头,联合多学科相关领域著名专家与权威学术组织共同编写本共识,全文以问答的方式展示,分为11个部分,37个问题,10条推荐意见,希望为临床医生合理应用多黏菌素类药物提供切实可行的参考。

关键词：推荐意见临床医生抗菌药物专家共识合理应用

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Suggestions for airway management in adults with severe COVID-19 Pneumonia (Trial Version)

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中华医学杂志 2020年第10期 729-737页

作者： Respiratory critical care medicine Group chinese Thoracic society chinese Medical Association Respiratory Physicians Branch critical care medicine Working Committee of chinese Medical Doctor Association

medicine Group of chinese Thoracic society, who fights in the anti-epidemic frontline. It comprises 11 questions, involving all aspects of airway management during the diagnosis and treatment period of severe COVID-19 patients and also putting forward how to prevent medical staff infections during airway management. The suggestion mainly provides reference opinions about airway management of severe COVID-19 patients during the pandemic.

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