与在临终关怀单位接受持续深度镇静的患者的生存相关的特征
Hee Kyung Ahn1, Hong Yup Ahn2, So Jung Park3
1Oncology Division, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
持续深度镇静 (CDS) 有助于管理生命终结症状. 功能不佳,高息预后指数得分和升高的 bilirubin / ferritin 水平与接受CDS的患者的生存时间缩短有关.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 临床药理学 临床药理学
背景情况:
- 持续深度镇静 (CDS) 是一种针对耐药生命终结症状的强化息治疗策略.
- 了解影响CDS患者生存的因素对于临床决策至关重要.
研究的目的:
- 描述临床特征和CDS在癌症末期患者的经验.
- 在接受CDS的患者中确定与生存相关的临床因素.
主要方法:
- 对接受CDS治疗的106名末期癌症患者进行了回顾性图表审计.
- 考克斯的比例危险模型被用来分析临床特征和生存之间的关联.
主要成果:
- 功能不良,高息性预后指数,高 bilirubinemia 和高血清费里被确定为预后不良的因素.
- 使用的镇静剂数量较少也与生存结果较差有关.
- 迪亚泽帕姆是最常见的初始镇静剂,根据需要使用哈洛佩里多尔或洛拉泽帕姆.
结论:
- 临床因素,如表现不佳的状态和特定的生物标志物,可以预测接受CDS的患者的生存率.
- 这些发现可以为共享决策提供信息,并指导未来对息镇静的研究.
更多相关视频
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
相关概念视频
Stages of General Anesthesia
Continuing Care
Ethical Issues
Ethical Concerns in Healthcare:
Alterations in Respiration II
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes...
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
