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成人术后恶心呕吐:对重症监护的影响

Postoperative nausea and vomiting in adults: implications for critical care.

作者信息

Collins Angela Smith

机构信息

Capstone College of Nursing, Tuscaloosa, AL 35487, USA.

出版信息

Crit Care Nurse. 2011 Dec;31(6):36-45. doi: 10.4037/ccn2011470.

Abstract

Postoperative nausea and vomiting is a dreaded, uncomfortable, and unpleasant patient experience that is also a factor contributing to adverse outcomes in postoperative recovery. The key to management of this concern is to identify high-risk patients and to develop a systematic method of assessment, intervention, and evaluation within the perianesthesia care continuum. This discussion outlines the wide range of pharmacological and alternative therapies that are available in clinical practice with a case study to illustrate incorporation of these interventions in critically ill patients.

摘要

术后恶心呕吐是一种令患者恐惧、不适且不愉快的体验,也是术后恢复不良结局的一个促成因素。处理这一问题的关键在于识别高危患者,并在围麻醉期护理连续过程中制定一套系统的评估、干预和评价方法。本讨论概述了临床实践中可用的广泛的药物和替代疗法,并通过一个案例研究来说明这些干预措施在重症患者中的应用。

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