切换至 "中华医学电子期刊资源库"

中华危重症医学杂志(电子版) ›› 2020, Vol. 13 ›› Issue (05) : 382 -385. doi: 10.3877/cma.j.issn.1674-6880.2020.05.014

所属专题: 文献

经验交流

eCASH理念在重症脑损伤患者镇痛镇静中的应用效果
何青青1, 周蓉2,(), 王丽娟2, 李瑶1, 郭倩楠1, 曹文倩1   
  1. 1. 030001 太原,山西医科大学护理学院
    2. 030001 太原,山西医科大学第二医院神经外科
  • 收稿日期:2020-02-01 出版日期:2020-10-31
  • 通信作者: 周蓉
  • Received:2020-02-01 Published:2020-10-31
引用本文:

何青青, 周蓉, 王丽娟, 李瑶, 郭倩楠, 曹文倩. eCASH理念在重症脑损伤患者镇痛镇静中的应用效果[J]. 中华危重症医学杂志(电子版), 2020, 13(05): 382-385.

表1 两组重症脑损伤患者一般资料的比较[例(%)]
表2 两组重症脑损伤患者NCU谵妄发生率、NCU非计划性拔管发生率、NCU病死率和住院病死率的比较[例(%)]
表3 两组重症脑损伤患者机械通气时间、NCU住院时间和总住院时间的比较[d,MP25P75)]
1
中国医师协会神经外科医师分会神经重症专家委员会. 重症脑损伤患者镇痛镇静专家共识[J]. 中华危重病急救医学,2013,25(7): 387-393.
2
Shehabi Y, Bellomo R, Reade MC, et al. Early intensive care sedation predicts long-term mortality in ventilated critically ill patients[J]. Am J Resp Crit Care Med, 2012, 186 (8): 724-731.
3
Stephens RJ, Dettmer MR, Roberts BW, et al. Practice patterns and outcomes associated with early sedation depth in mechanically ventilated patients: a systematic review and meta-analysis[J]. Crit Care Med, 2018, 46 (3): 471-479.
4
Vincent JL, Shehabi Y, Walsh TS, et al. Comfort and patient centred care without excessive sedation: the eCASH concept[J]. Intensive Care Med, 2016, 42 (6): 962-971.
5
Acevedo-Nuevo M, González-Gil MT, Romera-Ortega MA, et al. The early diagnosis and management of mixed delirium in a patient placed on ECMO and with difficult sedation: a case report[J]. Intensive Crit Care Nurs, 2018 (44): 110-114.
6
陈淑芳,李伯恩,营霞,等. eCASH护理模式对老年病人髋部术后谵妄的影响[J]. 蚌埠医学院学报,2017,42(7): 983-986.
7
赵先美,叶曼,李知音,等. eCASH理念运用于ICU机械通气患者镇静镇痛管理的效果评价[J]. 中国护理管理,2018,18(4): 533-537.
8
Swart LM, van der Zanden V, Spies PE, et al. The comparative risk of delirium with different opioids: a systematic review[J]. Drugs Aging, 2017, 34 (6): 437-443.
9
Zaal IJ, Devlin JW, Hazelbag M, et al. Benzodiazepine-associated delirium in critically ill adults[J]. Intensive Care Med, 2015, 41 (12): 2130-2137.
10
Hughes CG, Brummer NE, Girard TD, et al. Change in endothelial vascular reactivity and acute brain dysfunction during critical illness[J]. Br J Aneasth, 2015, 115 (5): 794-795.
11
Rajan S, Hutcherson MT, Sessler DI, et al. The effects of dexmedetomidine and remifentanil on hemodynamic stability and analgesic requirement after craniotomy: a randomized controlled trial[J]. J Neurosurg Anesthesiol, 2016, 28 (4): 282-290.
12
纪媛媛,王军,马春梅. 神经外科ICU患者谵妄特点分析[J]. 中华现代护理杂志,2018,24(25): 2982-2986.
13
Pan Y, Jiang Z, Yuan C, et al. Influence of physical restraint on delirium of adult patients in ICU: a nested case-control study[J]. J Clin Nurs, 2018, 27 (9-10): 1950-1957.
14
Mitchell ML, Kean S, Rattray JE, et al. A Family intervention to reduce delirium in hospitalised ICU patients: a feasibility randomised controlled trial[J]. Intensive Crit Care Nurs, 2017 (40): 77-84.
15
Youngblom E, DePalma G, Sands L, et al. The temporal relationship between early postoperative delirium and postoperative cognitive dysfunction in older patients: a prospective cohort study[J]. Can J Anesth, 2014, 61 (12): 1084-1092.
16
卞红,刘海英,杨正宇,等. eCASH理念结合早期活动在ICU机械通气患者的应用研究[J]. 护理学杂志,2019,34(10): 38-41.
17
吴艳红,周蓉. 早期目标导向镇静理念在颅脑外伤患者治疗与护理中的应用[J]. 中国药物与临床,2018,18(2): 306-308.
18
Klein K, Mulkey M, Bena JF, et al. Clinical and psychological effects of early mobilization in patients treated in a neurologic ICU: a comparative study[J]. Crit Care Med, 2015, 43 (4): 865-873.
19
符晓艳,王羚入,邓月月,等. 主动运动对脑梗死患者康复效果的研究[J]. 中华护理杂志,2018,53(11): 1309-1314.
20
蒲萍,吴沈,马丽萍,等. 程序化镇痛镇静调控方案在NICU术后患者中的应用[J]. 护理学杂志,2019,34(6): 19-22.
21
张勤,黄勤慧,朱金君. 脑科重症监护患者人工气道意外拔管风险的护理对策[J/CD]. 中华危重症医学杂志(电子版),2018,11(6): 427-429.
22
Mahmoud L, Zullo AR, Thompson BB, et al. Outcomes of protocolised analgesia and sedation in a neurocritical care unit[J]. Brain Inj, 2018, 32 (7): 941-947.
23
Stephens RJ, Ablordeppey E, Drewry AM, et al. Analgosedation practices and the impact of sedation depth on clinical outcomes among patients requiring mechanical ventilation in the ED: a cohort study[J]. Chest, 2017, 152 (5): 963-971.
24
Rosenbaum AM, Gordon WA, Joannou A, et al. Functional outcomes following post-acute rehabilitation for moderate-to-severe traumatic brain injury[J]. Brain Inj, 2018, 32 (7): 907-914.
No related articles found!
阅读次数
全文


摘要