Crippen D
St Francis Medical Center, Pittsburgh, Pennsylvania, USA.
Crit Care. 2000;4(2):81-90. doi: 10.1186/cc661. Epub 2000 Mar 21.
The modern intensive care unit (ICU) has evolved into an area where mortality and morbidity can be reduced by identification of unexpected hemodynamic and ventilatory decompensations before long-term problems result. Because intensive care physicians are caring for an increasingly heterogeneous population of patients, the indications for aggressive monitoring and close titration of care have expanded. Agitated patients are proving difficult to deal with in nonmonitored environments because of the unpredictable consequences of the agitated state on organ systems. The severe agitation state that is associated with ethanol withdrawal and delirium tremens (DT) is examined as a model for evaluating the efficacy of the ICU environment to ensure consistent stabilization of potentially life-threatening agitation and delirium.
现代重症监护病房（ICU）已发展成为一个通过在长期问题出现之前识别意外的血流动力学和通气失代偿来降低死亡率和发病率的区域。由于重症监护医生所护理的患者群体日益多样化，积极监测和密切调整护理的指征已经扩大。由于躁动状态对器官系统的影响不可预测，在非监护环境中，躁动患者很难处理。与酒精戒断和震颤谵妄（DT）相关的严重躁动状态被作为一个模型进行研究，以评估ICU环境确保潜在危及生命的躁动和谵妄持续稳定的效果。
