The intensity of organ support: Restrictive or aggressive therapy for critically ill patients  

作　　者：Hongxiang Li Yuting Li Yao Fu Xinyu Zhang Dong Zhang 

机构地区：[1]Department of Intensive Care Medicine,The First Hospital of Jilin University,Changchun 130021,Jilin,China

出　　处：《Journal of Intensive Medicine》2023年第4期298-302,共5页重症医学（英文）

基　　金：supported by the Department of Finance in Jilin Province (grant number:JLSWSRCZX2021-070).

摘　　要：The intensity of organ support has received attention in recent years. To make better clinical decisions, we should understand the mechanisms and benefits, and disadvantages of the different intensities of organ support in critically ill patients. Therapeutic strategies such as supplemental oxygen therapy, mechanical ventilation, respiratory stimulant, vasoactive agents, transfusion, albumin infusion, fluid management, renal placement, and nutrition support, if they are implemented in accordance with an aggressive strategy, could result in side effects and/or complications, resulting in iatrogenic harm in critically ill patients. It is found that the intensity of organ support is not a determining factor in prognosis. A normal rather than supernormal physiological target is recommended for support therapy.

关 键 词：Critically ill patients Organ support Aggressive therapy Restrictive therapy PROGNOSIS 

分 类 号：R459.7[医药卫生—急诊医学]