Sedation in the ICU.

NEJM evidence Pub Date : 2024-11-01 Epub Date: 2024-10-22 DOI:10.1056/EVIDra2300347
Kalynn A Northam, Kristy M Phillips
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Abstract

AbstractSedation practices are key to improving intensive care unit (ICU) outcomes. Adequate treatment of pain, minimization of sedation, delirium prevention, and improved patient interaction to ensure early rehabilitation and faster ventilator liberation are evidenced-based components of ICU care. Here we review components of appropriate ICU sedation including the use of multicomponent care bundles such as the ABCDEF bundle with a focus on changes in ICU practice that followed the Covid-19 pandemic.

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重症监护室的镇静。
摘要镇静措施是改善重症监护室(ICU)疗效的关键。充分治疗疼痛、尽量减少镇静、预防谵妄、改善患者互动以确保早期康复和更快地脱离呼吸机,这些都是重症监护室护理的循证组成部分。在此,我们回顾了 ICU 适当镇静的组成部分,包括使用 ABCDEF 等多组分护理捆绑包,重点关注 Covid-19 大流行后 ICU 实践的变化。
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