Strøm Thomas, Rian Omar, Toft Palle
Anæstesiologisk og Intensiv Afdeling, Odense Universitetshospital. Sdr. Boulevard 29, 5000 Odense C, Denmark.
Ugeskr Laeger. 2012 Feb 13;174(7):406-9.
Critically ill patients undergoing mechanical ventilation have traditionally been deeply sedated. In the latest decade growing evidence supports less sedation as being beneficial for the patients. A daily interruption of sedation has been shown to reduce the length of mechanical ventilation and the length of stay in the intensive care unit. Recently it has been shown that a strategy with no sedation of critically ill patients undergoing mechanical ventilation reduced the time patients received mechanical ventilation and reduced the length of both intensive care and hospital stay.
传统上，接受机械通气的重症患者一直处于深度镇静状态。在最近十年中，越来越多的证据表明减少镇静对患者有益。每日中断镇静已被证明可缩短机械通气时间和重症监护病房住院时间。最近有研究表明，对接受机械通气的重症患者采用无镇静策略可缩短患者接受机械通气的时间，并缩短重症监护和住院时间。
