神经危重症护理中的镇静假期:一种建议算法

IF 0.2 Q4 NEUROSCIENCES Indian Journal of Neurotrauma Pub Date : 2023-03-01 DOI:10.1055/s-0043-1762599
L. Moscote-Salazar, W. Florez-Perdomo, Tariq Janjua
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引用次数: 0

摘要

每日镇静中断或镇静休假是神经学评估、呼吸力学、心脏稳定性和最终脱机拔管的一种策略。然而,其应用存在安全性问题,如肺、心脏和神经系统并发症。方案驱动的医疗重症监护镇静假期有助于减少重症监护时间和增加无呼吸机天数。1,2同样的方法也可用于神经重症监护,但需根据神经危重症监护的进展进行调整。
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Sedation Vacation in Neurocritical Care: A Proposal Algorithm
Abstract Daily sedation interruption or sedation vacation is a strategy for neurological evaluation, respiratory mechanics, cardiac stability, and eventual weaning to extubation. However, its application has safety aspects such as pulmonary, cardiac, and neurological complications. A protocol-driven sedation vacation in the medical intensive care helps with the reduction in the intensive care length of stay and increase in ventilator-free days. 1,2 The same approach can be used in neurointensive care with alterations based upon the neurocritical care progression.
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