PDF(Pubmed)
Abstract：
Since the advent of critical care in the twentieth century, the core elements that are the foundation for critical care systems, namely to care for critically ill and injured patients and to save lives, have evolved enormously. The past half-century has seen dramatic advancements in diagnostic, organ support, and treatment modalities in critical care, with further improvements now needed to achieve personalized critical care of the highest quality. For critical care to be even higher quality in the future, advancements in the following areas are key: the physical ICU space; the people that care for critically ill patients; the equipment and technologies; the information systems and data; and the research systems that impact critically ill patients and families. With acutely and critically ill patients and their families as the absolute focal point, advancements across these areas will hopefully transform care and outcomes over the coming years.
摘要：
自从20世纪出现重症监护以来，作为重症监护系统基础的核心要素，即照顾危重病人和受伤病人，挽救生命，已经发生了巨大的发展。在过去的半个世纪里，诊断技术取得了巨大的进步，器官支持,和重症监护的治疗方式，随着进一步的改进，现在需要实现最高质量的个性化重症监护。为了提高重症监护的质量，以下领域的进步是关键：物理ICU空间;照顾重症患者的人;设备和技术;信息系统和数据;以及影响重症患者和家庭的研究系统。以急危重症患者及其家属为绝对焦点,这些领域的进步有望在未来几年改变护理和成果。
