Kamprad Martin, Helm Ute
Dtsch Med Wochenschr. 2018 Apr;143(8):574-581. doi: 10.1055/s-0043-115630. Epub 2018 Apr 12.
A distinction needs to be made between intermediate and continuous sedation as well as between minimal, moderate and deep sedation. To gain ethical acceptance it is crucial that for palliative sedation (PS) minimally required doses are administered to decrease suffering. Intermittent PS is used for decreasing physical symptoms, whereas deep continuous PS is used to minimize intolerable suffering or psychological symptoms. Precise medical indication and education of patient and relatives are pre-requirements to any PS. Midazolam is often applied for PS. Each PS requires frequent monitoring and personal assistance.
需要区分中度镇静和持续镇静，以及轻度、中度和深度镇静。为了在伦理上被接受，至关重要的是，对于姑息性镇静（PS），应给予最低所需剂量以减轻痛苦。间歇性PS用于减轻身体症状，而深度持续PS用于将无法忍受的痛苦或心理症状降至最低。精确的医学指征以及对患者和亲属的教育是任何PS的先决条件。咪达唑仑常用于PS。每次PS都需要频繁监测和专人协助。
