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中华重症医学电子杂志 ›› 2017, Vol. 03 ›› Issue (04) : 250 -253. doi: 10.3877/cma.j.issn.2096-1537.2017.04.003

所属专题: 镇痛镇静 重症医学 文献 指南共识

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ICU后综合征在镇痛镇静谵妄指南、镇痛镇静集束化措施及eCASH中的干预建议
郭晓夏1, 安友仲1,()   
  1. 1. 100044 北京大学人民医院重症医学科
  • 收稿日期:2017-05-16 出版日期:2017-11-28
  • 通信作者: 安友仲

Suggestions for preventing the post intensive care syndrome provided by the 2013 PAD guidelines, the ABCDE bundle and the eCASH concept

Xiaoxia Guo1, Youzhong An1,()   

  1. 1. Department of Critical Care Medicine, Peking University People′s Hospital, 100044 Beijing, China
  • Received:2017-05-16 Published:2017-11-28
  • Corresponding author: Youzhong An
  • About author:
    Correstponding author: An Youzhong, Email:
引用本文:

郭晓夏, 安友仲. ICU后综合征在镇痛镇静谵妄指南、镇痛镇静集束化措施及eCASH中的干预建议[J/OL]. 中华重症医学电子杂志, 2017, 03(04): 250-253.

Xiaoxia Guo, Youzhong An. Suggestions for preventing the post intensive care syndrome provided by the 2013 PAD guidelines, the ABCDE bundle and the eCASH concept[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(04): 250-253.

ICU后综合征(PICS)是指重症患者转出ICU后,在认知、心理和躯体方面新出现或加重的一系列功能障碍,严重影响患者的身体恢复和生存质量,并在出院后仍持续影响患者及其家庭。近年提出的镇痛镇静谵妄(PAD)指南、镇痛镇静集束化措施(ABCDE bundle)和eCASH滴定式镇静策略,均围绕PICS的防治,尤其是疼痛、躁动和谵妄的评估与治疗等方面提出了有效的防治措施。

Post intensive care syndrome (PICS) describes the disability that remains in the survivors of critical illness after an intensive care unit (ICU) stay. This syndrome comprises of impairment in cognition, psychological health, and physical function in the ICU survivors, and may lead to reduced quality of life, causing a lot of suffering to these patients and their families. Recommendations have been made for preventing PICS in the 2013 PAD guidelines, in the ABCDE bundle and in the eCASH concept, all of which prioritise the management of pain, agitation and delirium in adult patients in ICU.

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