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早期干预:重症监护病房中的昏迷促醒

Early intervention: coma stimulation in the intensive care unit.

作者信息

Sosnowski C, Ustik M

机构信息

St. Elizabeth Hospital Medical Center, Youngstown, Ohio 44501-1790.

出版信息

J Neurosci Nurs. 1994 Dec;26(6):336-41. doi: 10.1097/01376517-199412000-00005.

DOI:10.1097/01376517-199412000-00005
PMID:7706836
Abstract

Coma stimulation is a technique that has traditionally been reserved for patients in a rehabilitation setting. Information regarding the use of coma stimulation in the intensive care setting is limited. An individualized coma stimulation program in the early stages of recovery from brain injury is paramount in stimulating the reticular activating system and promoting brain reorganization. Coma stimulation program development within the intensive care setting includes the appropriate selection of patients and the utilization of the entire rehabilitation team in devising an approach specific to each patient's needs. Planning should include the family, with consideration to the prior interests of the patient. Ongoing evaluation of the patient's responses should be considered, as well as the ease of performing stimulation within the intensive care environment.

摘要

昏迷刺激是一种传统上仅用于康复环境中患者的技术。关于在重症监护环境中使用昏迷刺激的信息有限。在脑损伤恢复的早期阶段制定个性化的昏迷刺激方案对于刺激网状激活系统和促进大脑重组至关重要。在重症监护环境中开展昏迷刺激方案包括适当选择患者,并利用整个康复团队来设计适合每个患者需求的方法。规划应包括患者家属,并考虑患者以前的兴趣爱好。应考虑对患者反应进行持续评估,以及在重症监护环境中进行刺激操作的便利性。

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Early intervention: coma stimulation in the intensive care unit.早期干预:重症监护病房中的昏迷促醒
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引用本文的文献

1
Early Rehabilitation Reduces Time to Decannulation in Patients With Severe Acquired Brain Injury: A Retrospective Study.早期康复可缩短重度获得性脑损伤患者的脱管时间:一项回顾性研究
Front Neurol. 2018 Jul 10;9:559. doi: 10.3389/fneur.2018.00559. eCollection 2018.
2
Effectiveness of a Very Early Stepping Verticalization Protocol in Severe Acquired Brain Injured Patients: A Randomized Pilot Study in ICU.极早期逐步垂直化方案对重症获得性脑损伤患者的有效性:一项在重症监护病房进行的随机试验研究
PLoS One. 2016 Jul 22;11(7):e0158030. doi: 10.1371/journal.pone.0158030. eCollection 2016.
3
Effect of auditory stimulation on traumatic coma duration in intensive care unit of Medical Sciences University of Mazandarn, Iran.
伊朗马赞德兰医科大学重症监护病房中听觉刺激对创伤性昏迷持续时间的影响。
Saudi J Anaesth. 2014 Jan;8(1):69-72. doi: 10.4103/1658-354X.125940.