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Titolo:
Monitoring sedation, agitation, analgesia, neuromuscular blockade, and delirium in adult ICU patients
Autore:
Riker, RR; Fraser, GL;
Indirizzi:
Maine Med Ctr, Dept Crit Care, Portland, ME 04102 USA Maine Med Ctr Portland ME USA 04102 ept Crit Care, Portland, ME 04102 USA
Titolo Testata:
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE
fascicolo: 2, volume: 22, anno: 2001,
pagine: 189 - 198
SICI:
1069-3424(2001)22:2<189:MSAANB>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTENSIVE-CARE UNIT; CRITICALLY ILL PATIENTS; PERIPHERAL-NERVE STIMULATION; AUDITORY-EVOKED POTENTIALS; ACTIVITY ASSESSMENT SCALE; BISPECTRAL INDEX; MECHANICAL VENTILATION; MUSCLE-RELAXANTS; PAIN MANAGEMENT; SCORING SYSTEMS;
Keywords:
sedation; reproducibility of results; analgesia;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
82
Recensione:
Indirizzi per estratti:
Indirizzo: Riker, RR Maine Med Ctr, Dept Crit Care, 22 Bramhall St, Portland, ME 04102 USA Maine Med Ctr 22 Bramhall St Portland ME USA 04102 ME 04102 USA
Citazione:
R.R. Riker e G.L. Fraser, "Monitoring sedation, agitation, analgesia, neuromuscular blockade, and delirium in adult ICU patients", SEM RESP CR, 22(2), 2001, pp. 189-198

Abstract

Preliminary evidence suggests that closely monitoring sedation may have a positive effect on patient outcomes, including reductions in intensive careunit (ICU) stay; duration of mechanical ventilatory support, and number ofdiagnostic tests requested to assess central nervous system function. In the last few ears, subjective instruments to assess agitation and sedation have been developed and tested for reliability and validity, including the Sedation-Agitation Scale and the Motor Activity Assessment Scale. Similar efforts directed to delirium among ICU patients have produced several assessment tools to help clinicians with this difficult area of patient care. Promising techniques for objective assessment of sedation (such as the bispectral index) and strategies to guide neuromuscular blockade with train-of-four(TOF) or clinical exam monitoring have emerged. Future efforts should focus on evaluating the impact of these monitoring techniques on specific outcomes in an effort to improve patient comfort, minimize adverse events, and reduce resource consumption.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/01/20 alle ore 12:50:46