在ICU的镇静治疗
Kalynn A Northam1, Kristy M Phillips2
1Department of Pharmacy, Massachusetts General Hospital, 55 Fruit Street, Boston, MA.
优化重症监护室 (ICU) 镇静包括控制疼痛,尽量减少镇静,防止妄想. 本综述审查了基于证据的实践和护理包,如ABCDEF包,突出了COVID-19流行后的ICU护理变化.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 麻醉学 麻醉学
背景情况:
- 镇静管理对于改善重症监护室 (ICU) 的结果至关重要.
- 基于证据的ICU护理组成部分包括疼痛管理,最小镇静,妄想预防和早期康复.
- 随着COVID-19大流行,重症监护室 (ICU) 实践发生了重大变化.
研究的目的:
- 审查适当的重症监护室 (ICU) 镇静的组成部分.
- 强调多元组件护理捆绑的作用,例如ABCDEF捆绑.
- 专注于在COVID-19大流行后重症监护室 (ICU) 实践中的变化.
主要方法:
- 关于重症监护室 (ICU) 镇静实践的当前文献的综述.
- 分析包括ABCDEF包在内的多元组件护理包.
- 检查COVID-19后的重症监护病房 (ICU) 的实践修改.
主要成果:
- 适当的镇静,控制疼痛和预防妄想对于ICU患者的康复至关重要.
- 像ABCDEF这样的多组分护理包可以改善患者的治疗结果.
- 密切护理实践已经发展,结合了COVID-19大流行期间的经验教训.
结论:
- 有效的镇静策略是最佳重症监护室 (ICU) 结果的组成部分.
- 该ABCDEF包代表了多元组件重症监护病房 (ICU) 护理的成功方法.
- 随着COVID-19大流行,重症监护室 (ICU) 协议的调整改善了患者的护理和康复.
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