神经重症监护中的镇静假期:是敌是友?

IF 4.8 2区 医学 Q1 CLINICAL NEUROLOGY Current Neurology and Neuroscience Reports Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI:10.1007/s11910-024-01383-6
Juan Sebastián Reyes-Bello, Luis Rafael Moscote-Salazar, Tariq Janjua
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引用次数: 0

摘要

综述目的:评估镇静休假在优化患者预后和提高神经重症监护病房(ICU)护理质量方面的作用。考虑到近期的研究成果和临床指南,我们讨论了镇静管理在神经重症监护中的重要性:最新研究结果:最近的研究强调了镇静中断方案在改善重症监护病房患者预后方面的重要性。有证据表明,每天中断镇静可以缩短机械通气时间、缩短重症监护室的住院时间并降低死亡率。然而,这些方案的实施需要仔细考虑患者的具体因素并采用多学科方法。镇静假可缩短机械通气时间、缩短重症监护室的住院时间并降低死亡率,因此在神经重症监护中起着至关重要的作用。尽管有这些益处,但必须解决并发症的存在,以避免不良后果。有必要继续开展研究,完善这些策略,提高指南质量,确保神经重症患者的镇静管理安全有效。
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Sedation Vacations in Neurocritical Care: Friend or Foe?

Purpose of review: To evaluate the role of sedation vacations in optimizing patient outcomes and enhancing the quality of care in neurological intensive care units (ICUs). We discuss the importance of sedation management in neurocritical care, considering recent research findings and clinical guidelines.

Recent findings: Recent studies have highlighted the significance of sedation interruption protocols in improving patient outcomes in the ICU setting. Evidence suggests that daily sedation interruptions can reduce the duration of mechanical ventilation, ICU length of stay, and mortality rates. However, the implementation of these protocols requires careful consideration of patient-specific factors and a multidisciplinary approach. Sedation vacations play a critical role in neurocritical care by reducing mechanical ventilation duration, ICU stay length, and mortality rates. Despite the benefits, the presence of complications must be addressed to avoid adverse outcomes. Continued research is necessary to refine these strategies and improve guideline quality, ensuring safe and effective sedation management in critically ill neurological patients.

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来源期刊
CiteScore
9.20
自引率
0.00%
发文量
73
审稿时长
6-12 weeks
期刊介绍: Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.
期刊最新文献
Correction to: Code-ICH: A New Paradigm for Emergency Interventionn. The Role of Mutant IDH Inhibitors in the Treatment of Glioma. Review on the Burden of Episodic Migraine and Utilization of Patient Reported Outcome Measures. Sedation Vacations in Neurocritical Care: Friend or Foe? Pharmacological Prevention of Postoperative Delirium in Adults: A Review of Recent Literature.
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