Aslam B H, Woods I
Anaesthetic Department, York District Hospital.
Ann R Coll Surg Engl. 1994 Jan;76(1):19-21.
Anonymous questionnaires regarding the practice of intravenous sedation were sent to all accident and emergency departments in England and Wales. The response rate was 63%. Intravenous sedation was used by 94% of the departments who replied. In 19% of these departments it was administered only by middle grade or senior grade clinicians, while in the remaining 81% sedation was also administered by junior grade clinicians. Diazepam, midazolam and opioids were the most commonly used agents. The use of monitoring was variable. In 16% of the units no monitoring was used routinely. ECG monitoring was carried out by 48% of the departments, non-invasive blood pressure monitoring by 67% and pulse oximetry by 65%. Our findings indicate there is a need for guidelines regarding patient selection, the choice of drugs and the monitoring of patients.
关于静脉镇静操作的匿名调查问卷被发送至英格兰和威尔士的所有急诊科。回复率为63%。94%的回复科室使用了静脉镇静。在这些科室中，19%仅由中级或高级临床医生进行静脉镇静，而在其余81%的科室中，初级临床医生也进行静脉镇静。地西泮、咪达唑仑和阿片类药物是最常用的药剂。监测的使用情况各不相同。16%的科室未常规使用监测。48%的科室进行心电图监测，67%进行无创血压监测，65%进行脉搏血氧饱和度监测。我们的研究结果表明，需要制定关于患者选择、药物选择和患者监测的指南。
