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引用次数: 0

摘要

虽然使用镇静药物首先要考虑的是呼吸问题,但许多镇静药物对心血管系统也有重要影响,需要加以控制。必须考虑心率、血压和心脏工作的变化。虽然大多数药物会以这样或那样的方式影响动脉血压,但有些药物对心率没有影响。虽然一种药物可能对大多数患者有效,但由于患者的潜在疾病,同一种药物可能具有潜在的破坏性影响。此外,仅仅改变给药速度就可能减少或增加对心血管的影响。
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Sedation Effects
While respiratory concerns tend to be the first consideration with sedation medications, many can have important effects on the cardiovascular system that need to be managed. Changes in heart rate, blood pressure, and cardiac work have to be considered. While most of these medications will affect arterial blood pressure in one way or another, some will have no effect on heart rate. While one agent may work well in majority of patients, that same medication could have potentially devastating effects because of a patient’s underlying condition. Additionally, simply changing the rate of drug administration can potentially reduce or increase the cardiovascular effects.
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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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