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دسته بندی:
مدیریت پروژه - Project Management
سال انتشار:
2020
عنوان انگلیسی مقاله:
Oversedation Zero as a tool for comfort, safety and management in the intensive care unit
ترجمه فارسی عنوان مقاله:
ارامش بخشی صفر به عنوان ابزاری برای آسایش ، ایمنی و مدیریت در بخش مراقبت های ویژه
منبع:
Sciencedirect - Elsevier - Medicina Intensiva (English Edition), 44 (2020) 239-247. doi:10.1016/j.medine.2019.09.005
نویسنده:
J. Caballeroa,b,c,∗, M. García-Sánchezd, E. Palencia-Herrejóne, T. Mu˜noz-Martínezf, J.M. Gómez-Garcíag, I. Ceniceros-Rozalénh, miembros del GTSAD/SEMICYUC♦
چکیده انگلیسی:
Sedation is necessary in the management of critically ill patients, both to alleviate
suffering and to cure patients with diseases that require admission to the intensive care unit.
Such sedation should be appropriate to the patient needs at each timepoint during clinical
evolution, and neither too low (undersedation) nor too high (oversedation). Adequate sedation
influences patient comfort, safety, survival, subsequent quality of life, bed rotation of
critical care units and costs. Undersedation is detected and quickly corrected. In contrast,
oversedation is silent and difficult to prevent in the absence of management guidelines, collective
awareness and teamwork. The Zero Oversedation Project of the Sedation, Analgesia
and Delirium Working Group of the Spanish Society of Intensive and Critical Care Medicine and
Coronary Units aims to offer a practical teaching and collective awareness tool for ensuring
patient comfort, safety and management with a view to optimizing the clinical outcomes and
minimizing the deleterious effects of excessive sedation. The tool is based on a package of measures
that include monitoring pain, analgesia, agitation, sedation, delirium and neuromuscular
block, keeping patients pain-free, performing dynamic sedation according to clinical objectives,
agreeing upon the multidisciplinary protocol to be followed, and avoiding deep sedation where
not clinically indicated.
KEYWORDS : Sedation | Oversedation | Intensive care unit | Critical patients | Zero | Teamwork | Safety | Management | Comfort
قیمت: رایگان
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