谵妄
镇静
医学
重症监护医学
病危
心理干预
抗精神病药
发作性谵妄
右美托咪定
梅德林
护理部
精神科
麻醉
精神分裂症(面向对象编程)
政治学
法学
作者
Gregory Peitz,Michele C. Balas,Keith M. Olsen,Brenda T. Pun,E. Wesley Ely
标识
DOI:10.1097/ccm.0b013e3182a168f5
摘要
The management of pain, agitation, and delirium in critically ill patients can be complicated by multiple factors. Decisions to administer opioids, sedatives, and antipsychotic medications are frequently driven by a desire to facilitate patients’ comfort and their tolerance of invasive procedures or other interventions within the ICU. Despite accumulating evidence supporting new strategies to optimize pain, sedation, and delirium practices in the ICU, many critical care practitioners continue to embrace false perceptions regarding appropriate management in these critically ill patients. This article explores these perceptions in more detail and offers new evidence-based strategies to help critical care practitioners better manage sedation and delirium, particularly in ICU patients.
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