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中华重症医学电子杂志 ›› 2017, Vol. 03 ›› Issue (04) : 245 -249. doi: 10.3877/cma.j.issn.2096-1537.2017.04.002

所属专题: 镇痛镇静 重症医学 文献

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ICU镇静深浅谈
王静1, 李建国1,()   
  1. 1. 430071 武汉大学中南医院重症医学科
  • 收稿日期:2017-05-08 出版日期:2017-11-28
  • 通信作者: 李建国

The depth of sedation in intensive care unit

Jing Wang1, Jianguo Li1,()   

  1. 1. Intensive Care Unit, Zhongnan Hospital, Wuhan university, Wuhan 430071, China
  • Received:2017-05-08 Published:2017-11-28
  • Corresponding author: Jianguo Li
  • About author:
    Corresponding author: Li Jianguo, Email:
引用本文:

王静, 李建国. ICU镇静深浅谈[J]. 中华重症医学电子杂志, 2017, 03(04): 245-249.

Jing Wang, Jianguo Li. The depth of sedation in intensive care unit[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(04): 245-249.

最初重症监护病房的镇静实践源于麻醉,容易导致深镇静或过度镇静。但随着研究进展,学者们逐步认识到深镇静对患者带来的危害,故提倡浅镇静。但对一些特定目标人群,如严重颅脑损伤、癫痫持续状态、治疗性低温以及严重急性呼吸窘迫综合征等患者,则必须给于较深度的镇静。对大多数重症患者实行浅镇静是有益的。为避免不必要的过度镇静,目前推荐采用镇痛性镇静、以浅镇静为靶目标的程序化镇静以及早期目标指向性镇静等策略。

The initial sedation practice in intensive care unit (ICU) which derived from anesthesia easily led to deep level or over sedation. However, with development of the research, deep sedation was gradually regarded to bring big harm to patients. So light sedation is recommended nowadays. However, the special target patients such as severe brain injury, persistent epilepsy, therapeutic low temperature and severe acute respiratory distress syndrome (ARDS) all need sedation in deep level. It is beneficial to treat most of critical ill patients with light sedation. To avoid unnecessary over sedation, strategies such as analgosedation, the protocolized sedation in goal of light level and early goal directed sedation are praised at present.

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