重症患者吸入镇静的实用方法。西班牙重症和危重症医学及冠心病病房学会镇静、镇痛和谵妄工作组(GTSAD)。

IF 2.7 4区 医学 Q2 CRITICAL CARE MEDICINE
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引用次数: 0

摘要

在重症监护病房(ICU)中使用镇静剂对于缓解机械通气患者的焦虑和压力至关重要,它与临床效果、机械通气持续时间和重症监护病房的住院时间有关。吸入镇静剂的好处包括:更快苏醒和拔管、减少阿片类药物和神经肌肉阻滞剂(NMB)的总剂量,以及支气管扩张、抗惊厥、心肺和神经保护作用。吸入镇静剂使用特定的蒸发器。异氟醚因其有效性和安全性而被推荐使用。中度和深度镇静、长期镇静、困难镇静、急性呼吸窘迫综合征(ARDS)患者、哮喘状态和超难治性癫痫状态患者建议使用吸入镇静剂。吸入式镇静剂具有这些显著优势,因此可以采用个性化的控制方法来优化重症监护病房的镇静效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Abordaje práctico de la sedación inhalada en el paciente crítico

The use of sedatives in intensive care units (ICU) is essential for relieving anxiety and stress in mechanically ventilated patients, and it is related to clinical outcomes, duration of mechanical ventilation, and length of stay in the ICU. Inhaled sedatives offer benefits such as faster awakening and extubation, decreased total opioid and neuromuscular blocking agents (NMB) doses, as well as bronchodilator, anticonvulsant, and cardiopulmonary and neurological protective effects. Inhaled sedation is administered using a specific vaporizer. Isoflurane is the recommended agent due to its efficacy and safety profile. Inhaled sedation is recommended for moderate and deep sedation, prolonged sedation, difficult sedation, patients with acute respiratory distress syndrome (ARDS), status asthmaticus, and super-refractory status epilepticus. By offering these significant advantages, the use of inhaled sedatives allows for a personalized and controlled approach to optimize sedation in the ICU.

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来源期刊
Medicina Intensiva
Medicina Intensiva CRITICAL CARE MEDICINE-
CiteScore
2.70
自引率
20.00%
发文量
146
审稿时长
33 days
期刊介绍: Medicina Intensiva is the journal of the Spanish Society of Intensive Care Medicine and Coronary Units (SEMICYUC) and of Pan American and Iberian Federation of Societies of Intensive and Critical Care Medicine. Medicina Intensiva has become the reference publication in Spanish in its field. The journal mainly publishes Original Articles, Reviews, Clinical Notes, Consensus Documents, Images, and other information relevant to the specialty. All works go through a rigorous selection process. The journal accepts submissions of articles in English and in Spanish languages. The journal follows the publication requirements of the International Committee of Medical Journal Editors (ICMJE) and the Committee on Publication Ethics (COPE).
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