危重症患者的镇静

Sedation in critically ill patients.

作者信息

Oldham Mark, Pisani Margaret A

机构信息

Department of Psychiatry, Yale-New Haven Hospital, 15 York Street, New Haven, CT 06510, USA.

Section of Pulmonary, Critical Care & Sleep Medicine, Yale University School of Medicine, PO Box 208057, TAC S425C, New Haven, CT 06520-8057, USA.

出版信息

Crit Care Clin. 2015 Jul;31(3):563-87. doi: 10.1016/j.ccc.2015.03.010.

DOI:10.1016/j.ccc.2015.03.010

PMID:26118921

Abstract

Sedation in the intensive care unit (ICU) is a topic that has been frequently researched, and debate still exists as to what are the best sedative agents for critically ill patients. There is increasing interest in sleep and circadian rhythm disturbances in the ICU and how they may impact on outcomes. In addition to patient-related and ICU environmental factors that likely impact sleep and circadian rhythm in the ICU, sedative and analgesic medications may also play a role.

摘要

重症监护病房（ICU）中的镇静是一个经常被研究的话题，对于危重症患者而言，究竟哪些是最佳的镇静药物，目前仍存在争议。人们对ICU中的睡眠和昼夜节律紊乱以及它们如何影响治疗结果越来越感兴趣。除了可能影响ICU中睡眠和昼夜节律的患者相关因素及ICU环境因素外，镇静和镇痛药物也可能起到一定作用。