Use of sedatives in the critically ill

被引：3

作者：

Peck, Marcus ^{[1
]}

Down, Jim ^{[2
]}

机构：

[1] Kings Coll Hosp London, Anaesthesia & Intens Care Med, London, England

[2] Univ Coll Hosp, ICU, London, England

来源：

ANAESTHESIA AND INTENSIVE CARE MEDICINE | 2010年 / 11卷 / 01期

关键词：

daily interruptions; goals; holds; protocol; Ramsay; RASS; SAS; SAT; sedation; scoring;

D O I：

10.1016/j.mpaic.2009.10.007

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Sedation is necessary for the care of most critically ill patients and yet it is not without risk. No agent is ideal and each has potentially deleterious sequelae, particularly in the context of organ dysfunction. Tailoring the regimen to each individual patient is essential but certain strategies such as the protocolized use of sedation scoring systems and daily interruptions have been shown to enhance patient outcome. Here, we review these subjects and the evidence that underscores current clinical practice.

引用

页码：12 / 15

页数：4

共 50 条

[1] Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult
Cooke, SE
Dasta, J
Fish, D
Hassan, E
Horst, HM
Kelly, K
Kaiser, K
Jackson, CE
Rudis, M
Schoenberger, C
Schoonover, L
Takaniski, G
Teres, D
Thompson, K
AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2002, 59 (02) : 150 - 178
[2] Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult
Jacobi, J
Fraser, GL
Coursin, DB
Riker, RR
Fontaine, D
Wittbrodt, ET
Chalfin, DB
Masica, MF
Bjerke, HS
Coplin, WM
Crippen, DW
Fuchs, BD
Kelleher, RM
Marik, PE
Nasraway, SA
Murray, MJ
Peruzzi, WT
Lumb, PD
CRITICAL CARE MEDICINE, 2002, 30 (01) : 119 - 141
[3] PHARMACOLOGY OF INTRAVENOUS SEDATIVES AND OPIOIDS IN CRITICALLY ILL PATIENTS
LEVINE, RL
CRITICAL CARE CLINICS, 1994, 10 (04) : 709 - 731
[4] Canadian survey of the use of sedatives, analgesics, and neuromuscular blocking agents in critically ill patients
Mehta, S
Burry, L
Fischer, S
Martinez-Motta, JC
Hallett, D
Bowman, D
Wong, C
Meade, MO
Stewart, TE
Cook, DJ
CRITICAL CARE MEDICINE, 2006, 34 (02) : 374 - 380
[5] THE USE OF ANALGESICS AND SEDATIVES IN CRITICALLY ILL PATIENTS - PHYSICIANS ORDERS VERSUS MEDICATIONS ADMINISTERED
SUN, XL
WEISSMAN, C
HEART & LUNG, 1994, 23 (02): : 169 - 176
[6] ORAL MELATONIN DECREASES NEED FOR SEDATIVES AND ANALGESICS IN CRITICALLY ILL
Mistraletti, G.
Cerri, B.
Miori, S.
Sabbatini, G.
Galluccio, I.
Umbrello, M.
Fiameni, R.
Salini, S.
Morabito, A.
Fraschini, F.
Iapichino, G.
INTENSIVE CARE MEDICINE, 2011, 37 : S181 - S181
[7] Randomized controlled trial of daily interruption of sedatives in critically ill children
Verlaat, Carin W. M.
Heesen, Ger P.
Vet, Nienke J.
de Hoog, Matthijs
van der Hoeven, Johannes G.
Kox, Matthijs
Pickkers, Peter
PEDIATRIC ANESTHESIA, 2014, 24 (02) : 151 - 156
[8] Pharmacokinetics and pharmacodynamics of sedatives and analgesics in the treatment of agitated critically ill patients
Wagner, BKJ
O'Hara, DA
CLINICAL PHARMACOKINETICS, 1997, 33 (06) : 426 - 453
[9] Pharmacokinetics and Pharmacodynamics of Sedatives and Analgesics in the Treatment of Agitated Critically Ill Patients
Bertil Wagner
Dorene A. O’Hara
Clinical Pharmacokinetics, 1997, 33 : 426 - 453
[10] Can we use magnesium for sedation in the intensive care unit for critically ill patients: Is it as effective as other sedatives?
Altun, Dilek
Eren, Gulay
Cetingok, Halil
Hergunsel, Gulstim Oya
Cukurova, Zafer
AGRI-THE JOURNAL OF THE TURKISH SOCIETY OF ALGOLOGY, 2019, 31 (02): : 86 - 92

← 1 2 3 4 5 →