Miller Michael A, Levy Phillip, Patel Manish M
Department of Emergency Medicine, Darnall Army Community Hospital, 36000 Darnall Loop, Box 32, Ft. Hood, TX 76544, USA.
Emerg Med Clin North Am. 2005 May;23(2):551-72. doi: 10.1016/j.emc.2004.12.016.
The practitioner of emergency medicine is routinely faced with patients in need of emergent procedures and pain control and sedation. Our challenge is to make our patients' experiences as painless and as safe as possible, while maximizing our ability to perform the procedure at hand; this is not always an easy task given the propensity of each human body to react differently to interventions and stimuli. We can best meet this challenge by understanding how our patients and pharmaceutical agents intermingle in the risk-benefit equation we formulate before starting our "experiment." Coupling this information with fundamentally sound patient care and monitoring will minimize bad experiences with PSA for both the patient and practitioner.
急诊医学从业者经常会遇到需要进行紧急手术以及疼痛控制和镇静的患者。我们面临的挑战是，在尽可能提高手头手术操作能力的同时，让患者的体验尽可能无痛且安全；鉴于每个人体对干预措施和刺激的反应倾向不同，这并非总是一项容易的任务。在开始我们的“试验”之前，通过了解患者与药物制剂如何在我们制定的风险效益等式中相互作用，我们能够最好地应对这一挑战。将这些信息与基本合理的患者护理及监测相结合，将使患者和从业者在PSA方面的不良体验降至最低。
