镇静效果

Mary F Landrigan-Ossar, Samuel M. Vanderhoek
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引用次数: 0

摘要

为了安全地提供镇静,医生必须对药物治疗方案的影响范围有一个完整的了解。虽然这些药物具有抗焦虑、催眠和镇痛作用,但这些作用是有代价的。镇静药和镇痛药对呼吸驱动的中枢神经控制有特殊的、普遍的抑制作用。外周,它们作用于气道肌肉组织的控制和调节,并抑制气道反射。这些作用因药物种类而异,并可能协同作用。本节将回顾大多数镇静药物对气道的常见影响。还包括对特殊气道考虑的患者的简要讨论。
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Sedation Effects
In order to safely provide sedation, the practitioner must have a complete understanding of the range of effects of the medication regimens. While these drugs provide anxiolysis, hypnosis and analgesia, these actions come at a price. Sedatives and analgesics have specific, generally depressive effects on the central nervous control of respiratory drive. Peripherally they act on the control and tone of airway musculature and depress airway reflexes. These actions vary according to class of drug and may act in synergy. This section will review some of the common effects on the airway of most sedation medications. A brief discussion of patients with special airway considerations is also included.
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The NICE Guidelines and Pediatric Sedation in the United Kingdom Follow-up Prescreening Hospital and Professional Reimbursement Quality Improvement in Pediatric Sedation
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