重症监护中未插管肥胖患者的镇静考量

Sedation considerations for the nonintubated obese patient in critical care.

作者信息

Welliver Mark, Bednarzyk Michele

机构信息

School of Nurse Anesthesia, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth, TX 76109, USA.

出版信息

Crit Care Nurs Clin North Am. 2009 Sep;21(3):341-52, vi. doi: 10.1016/j.ccell.2009.07.001.

DOI:10.1016/j.ccell.2009.07.001

PMID:19840713

Abstract

Sedation of the obese critical care patient presents unique challenges that include altered respiratory function and a predisposition to respiratory suppression and airway obstruction. Sedative drugs have pronounced effects on obese patients. Knowledge of the anatomic and physiologic changes associated with obesity, airway management, and sedation agents better prepares one to care for these patients safely and effectively.

摘要

肥胖重症监护患者的镇静带来了独特的挑战，包括呼吸功能改变以及易发生呼吸抑制和气道阻塞。镇静药物对肥胖患者有显著影响。了解与肥胖相关的解剖和生理变化、气道管理及镇静药物，能更好地让人们为安全有效地护理这些患者做好准备。