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程序化镇静应用于ICU机械通气患者的观察及护理 被引量:14

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摘要 ICU镇静越来越受关注,但镇痛镇静的现状仍不乐观.往往在镇痛镇中忽视了疼痛及疼痛评估,存在镇静治疗过程中医生顾虑多、镇静评估重视度不够、频次不确定、镇静观念不够、镇静适度者少等问题.如何使患者达到理想的镇静状态,目前ICU尚无统一的方案.程序化镇静已成为近年来ICU研究的热点.程序化镇静是以镇痛为基础,有镇静计划的目标,并根据镇静深度评分调节镇静剂用量的系统镇静.可减少ICU患者的澹忘发生率,并能减少或消除患者对ICU治疗期间痛苦的记忆,提高护理安全,同时体现对患者的人文关怀[1-3].2013年6月我科开始对入住ICU的机械通气患者实施程序化镇静,现将临床观察和护理体会总结如下.
作者 李新 张岚
出处 《天津护理》 2014年第6期520-521,共2页 Tianjin Journal of Nursing
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参考文献6

  • 1de Wit M,Gennings C, Jenvey WI, et al. Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients [J ]. Critical Care, 2008,12(3) : R70.
  • 2Arias-Rivera S,SO.nchez-SO.nchez Mdel M,Santos-Dlaz R,et a/.Effect of a nursing-implemented sedation protocol on weaning outcome [J]. Crit Care Med, 2008,36:2054 - 2060.
  • 3Yiliaz C,Kelebek Girgin N,Ozdemir N, et al. The effect of nursingimple- mented sedation on the duration of mechanical ventilation in the 1CU [J]. Ulus Travma Aeil Cerrahi Derg,2010,16:521 -526.
  • 4Vincent JL. Give your patient a fast hug(at least) once a day [J]. Crit Care Med, 2005,33 ( 6 ) : 1225-1229.
  • 5Martin J, Heymann A, Basell, K, et ol. Evidence and consensus-based Ger- man guiddines for the management of analgesia, sedatioin and delirium in intensive care-short version[J]. GMS German Medical Science, 2010,8(2):2.
  • 6黄英姿,杨毅,刘松桥,杨从山,李卿,徐晓婷,邱海波.重症监护病房患者不适体验及影响因素的临床调查研究[J].中华老年多器官疾病杂志,2009,8(3):254-258. 被引量:27

二级参考文献10

  • 1Ingegerd BE, Hengo H. Assessment of patients experience of discomforts during respirator therapy. Crit Care Med, 1989, 17: 1068-1072.
  • 2American College of Critical Care Medicine of the Society of Critical Care Medicine, Amieriean Society of Healthy-system Pharmacists, American College of Chest Physicians. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Am J Health Syst Pharm, 2002, 59:150-178.
  • 3Mehta S, Burry L, Fischer S, et al. Canadian survey of the use of sedatives, analgesics, and neuromuscular blocking agents in critically ill patients. Crit Care Med, 2006, 34: 374-380.
  • 4Jacobi J, Fraser GL, Coursin DB, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med, 2002, 30: 119-141.
  • 5Kress JP, Pohlman AS, Michael RN, et al. Daily in terruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med, 2000, 342:1471-1477.
  • 6Novaes MA, Knobel E, Bork AM, et al. Stressors in ICU: perception of the patient, relatives and healthcare team. Intensive Care Med, 1999, 25:1421-1426.
  • 7Weinert CR, Calvin AD. Epidemiology of sedation and sedation adequacy for mechanically ventilated patients in a medical and surgical intensive care unit. Crit Care Med, 2007, 35: 393-401.
  • 8Curtis N, Sessler MD, Kimberly V, et al. Patient-fo- cused sedation and analgesia in the ICU. Chest, 2008, 133: 552-565.
  • 9Novaes MA, Aronovich A, Ferraz MB, et al. Stressots in ICU: patients' evaluation. Intensive Care Med, 1997, 23: 1282-1285.
  • 10Meyer TJ, Eveloff SE, Bauer MS, et al. Adverse environmental conditions in the respiratory and medical ICU settings. Chest, 1994, 105: 1211-1216.

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