Mazzeo A J
Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, USA.
Crit Care Clin. 1995 Oct;11(4):937-55.
This article discusses the potential benefits of sedation for the mechanically ventilated patient. These benefits include the alleviation of anxiety and pain, which may result in a reduction of oxygen consumption. Other advantages include improved synchronization of a patient's breathing pattern with ventilator settings and better patient care, comfort, and safety. The patient's clinical situation, such as respiratory failure caused by right-to-left shunt, cardiovascular problems, elevated intracranial pressure, hepatic disease, and renal failure, needs to be considered when selecting a sedative agent.
本文讨论了对机械通气患者进行镇静的潜在益处。这些益处包括减轻焦虑和疼痛，这可能会导致氧气消耗减少。其他优点包括患者呼吸模式与呼吸机设置更好地同步，以及更好的患者护理、舒适度和安全性。在选择镇静剂时，需要考虑患者的临床情况，如右向左分流引起的呼吸衰竭、心血管问题、颅内压升高、肝脏疾病和肾衰竭。
