{"id":11056,"date":"2016-05-17T20:47:12","date_gmt":"2016-05-17T17:47:12","guid":{"rendered":"https:\/\/dipicdev.ro\/criterii-de-prioritate\/"},"modified":"2018-12-09T18:15:10","modified_gmt":"2018-12-09T16:15:10","slug":"priority-criteria","status":"publish","type":"page","link":"https:\/\/dipicdev.ro\/en\/medical-activity\/sectiile-spitalului\/anesthesiology-and-intensive-care-clinic\/priority-criteria\/","title":{"rendered":"Priority criteria"},"content":{"rendered":"<h3><strong>CRITERII DE PRIORITATE<\/strong><\/h3>\n<p><strong>Prioritatea 1:<\/strong><\/p>\n<ul>\n<li>Pacien\u021bii critici instabili care necesit\u0103 tratament \u0219i\/sau monitorizare care nu pot fi efectuate \u00een afara terapiei intensive. De obicei, aceste tratamente inculd suport ventilator avansat, administrarea continu\u0103 de droguri vasoactive etc. Extensia terapiei intensive aplicat\u0103 acestor pacien\u021bi nu are limite. Sunt justificate deci, aplicarea tuturor mijloacelor de tratamente disponibile. De ex. insuficien\u021ba respiratorie acut\u0103 sau pacien\u021bi \u00een postopeator ce necesit\u0103 suport ventilator mecanic \u0219i pacien\u021bii cu instabilitate hemodinamic\u0103 sau \u0219oc care necesit\u0103 monitorizare invaziv\u0103 \u0219i\/sau trtatament cu medicamente vasoactive.<\/li>\n<\/ul>\n<p><strong>Prioritatea 2:<\/strong><\/p>\n<ul>\n<li>Pacien\u021bii ce necesit\u0103 monitorizare intensiv\u0103 \u0219i poten\u021bial au nevoie de interven\u021bie terapeutic\u0103 imediat\u0103. Nici pentru ace\u0219ti pacien\u021bi nu exist\u0103 limite terapeutice. De ex. pacien\u021bii cu comorbidit\u0103\u021bi cornice care dezvolt\u0103 o suferin\u021b\u0103 medical\u0103 sau chirurgical\u0103 acut\u0103.<\/li>\n<\/ul>\n<p><strong>Prioritatea 3:<\/strong><\/p>\n<ul>\n<li>Pacientii critici cu instabilitate care au \u0219anse reduse de recuperare datorit\u0103 bolilor concomitente sau datorit\u0103 naturii bolii acute. Ace\u0219ti pacien\u021bi pot primi tratament intensiv pentru bola acut\u0103, dar eforturile terapeutice trebuie limitate. De ex. pacien\u021bii cu suferin\u021be maligne metastazate complicate cu infec\u021bie, tamponad\u0103 cardiac\u0103 sau obstruc\u021bie de c\u0103i respiratorii.<\/li>\n<\/ul>\n<p><strong>Prioritatea 4:<\/strong><\/p>\n<ul>\n<li>Acesta categorie include pacien\u021bii care nu sunt \u00een general admi\u0219i \u00een terapie intensiv\u0103. Admisia acestora se face pe baz\u0103 individual\u0103, \u00een circumstan\u021be deosebite \u0219i sunt la discre\u021bia \u0219efului de sec\u021bie A.T.I. Ace\u0219ti pacien\u021bi sunt: pacien\u021bi care nu au un beneficiu anticipat datorit\u0103 riscului mic (\u201cprea bine pentru a beneficia de terapie intensiv\u0103\u201d). De ex: pacien\u021bii de chirurgie vascular\u0103 periferic\u0103, pacien\u021bii cu cetoacidoz\u0103 diabetic\u0103 stabili hemodinamic, insuficien\u021b\u0103 cardiac\u0103 congestiv\u0103 forma medie, pacien\u021bii con\u0219tien\u021bi cu intoxica\u021bii medicamentoase etc.<\/li>\n<\/ul>\n<p>Pacien\u021bii cu boli terminale ireversibile \u00een iminen\u021ba de deces (\u201eprea bolnavi pentru a beneficia de terapie intensiv\u0103\u201d). De ex. leziuni cerebrale severe ireversibile insuficen\u021be organice multiple ireversibile, cancer metastatic care nu r\u0103spunde la chemoterpie sau radioterapie, pacien\u021bi cu capacitatea de decizie p\u0103strat\u0103 care nu doresc terapie intensiv\u0103 \u0219i\/sau monitorizare invaziv\u0103 \u0219i care primesc doar terapie de confort, pacien\u021bi cu moarte cerebral\u0103 care nu sunt donatori de organe, pacien\u021bi cu stare vegetativ\u0103 persistent\u0103 etc.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>CRITERII DE PRIORITATE Prioritatea 1: Pacien\u021bii critici instabili care necesit\u0103 tratament \u0219i\/sau monitorizare care nu pot fi efectuate \u00een afara terapiei intensive. De obicei, aceste tratamente inculd suport ventilator avansat, administrarea continu\u0103 de droguri vasoactive etc. Extensia terapiei intensive aplicat\u0103 acestor pacien\u021bi nu are limite. Sunt justificate deci, aplicarea tuturor mijloacelor de tratamente disponibile. De [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":11407,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-11056","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages\/11056","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/comments?post=11056"}],"version-history":[{"count":2,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages\/11056\/revisions"}],"predecessor-version":[{"id":12957,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages\/11056\/revisions\/12957"}],"up":[{"embeddable":true,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages\/11407"}],"wp:attachment":[{"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/media?parent=11056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}