Waegerle J D
Naval School of Health Sciences, Portsmouth, VA, USA.
Semin Perioper Nurs. 1998 Jan;7(1):21-8.
There has been a recent increase in the number and types of cases performed with conscious sedation in the operating room and in minor operative suites (endoscopy, plastics, etc.), with nurse administering conscious sedation to healthy, uncomplicated patients under the direction of a physician. The literature is replete with articles which proffer guidelines, discuss the basics of conscious sedation, the role of the nurse, training and competency issues, and policy development. This article provides perioperative nurses with some practical, hands-on information to aid them in providing safe, quality care to their patients. There are detailed sections which address required equipment, perioperative patient assessment and monitoring, and information on commonly used medications and their side effects. The author offers this information based on literature review, education, and experience, and does not reflect the official position of any one organization.
近年来，手术室和小型手术套房（如内窥镜检查、整形手术等）中采用清醒镇静进行的病例数量和类型有所增加，护士在医生的指导下为健康、无并发症的患者实施清醒镇静。文献中充斥着大量文章，这些文章提出了指导方针，讨论了清醒镇静的基础知识、护士的角色、培训和能力问题以及政策制定。本文为围手术期护士提供了一些实用的实践信息，以帮助他们为患者提供安全、优质的护理。文中有详细的章节介绍了所需设备、围手术期患者评估与监测，以及常用药物及其副作用的信息。作者基于文献综述、教育和经验提供这些信息，并不代表任何一个组织的官方立场。
