机械通气患者每日唤醒及其阻碍因素的研究进展
Progress in Daily Arousal and Its Impediments in Mechanically Ventilated Patients
DOI: 10.12677/NS.2022.112023, PDF,    科研立项经费支持
作者: 田 鹏, 余 静, 刘旭琴, 杨沙祎:贵州中医药大学,贵州 贵阳;李 玲:贵州省人民医院,贵州 贵阳
关键词: 每日唤醒机械通气镇静重症监护护理 Daily Interruption Sedation Mechanical Ventilation Sedation Intensive Care Unit Nursing
摘要: 文章分析了ICU机械通气患者每日唤醒的研究现状,重点阐述了每日唤醒实施过程中的阻碍因素及促进每日唤醒的相关举措,旨在为进一步制订和完善每日唤醒相关策略提供依据,为ICU机械通气患者的科学镇静管理提供借鉴,提高每日唤醒在临床中的应用。
Abstract: This paper analyzes the research status of daily wake-up of patients with mechanical ventilation in ICU, and focuses on the obstacles in the implementation of daily wake-up and the relevant measures to promote daily wake-up, in order to provide basis for further formulating and improving the relevant strategies of daily wake-up, provide reference for the scientific sedation management of patients with mechanical ventilation in ICU, and improve the application of daily wake-up in clinical practice.
文章引用:田鹏, 余静, 刘旭琴, 杨沙祎, 李玲. 机械通气患者每日唤醒及其阻碍因素的研究进展[J]. 护理学, 2022, 11(2): 121-126. https://doi.org/10.12677/NS.2022.112023

参考文献

[1] Pham, T., Brochard, L.J. and Slutsky, A.S. (2017) Mechanical Ventilation: State of the Art. Mayo Clinic Proceedings, 92, 1382-1400. [Google Scholar] [CrossRef] [PubMed]
[2] Tobin, M.J. (1994) Mechanical Ventilation. The New England Journal of Medicine, 330, 1056-1061. [Google Scholar] [CrossRef
[3] 赖秀华, 赖翠薇, 刘小川, 等. 每日唤醒镇静策略应用现状及其影响因素的研究进展[J]. 护士进修杂志, 2020, 35(24): 2247-2250.
[4] Kress, J.P. and Hall, J.B. (2006) Sedation in the Mechanically Ventilated Patient. Critical Care Medicine, 34, 2541-2546. [Google Scholar] [CrossRef
[5] McGrane, S. and Pandharipande, P. (2012) Sedation in the Intensive Care Unit. Minerva Anestesiologica, 78, 369-380. [Google Scholar] [CrossRef
[6] Gehlbach, B.K. and Kress, J.P. (2002) Sedation in the Intensive Care Unit. Current Opinion in Critical Care, 8, 290-298. [Google Scholar] [CrossRef] [PubMed]
[7] Hogarth, D.K. and Hall, J. (2004) Management of Seda-tion in Mechanically Ventilated Patients. Current Opinion in Critical Care, 10, 40-46. [Google Scholar] [CrossRef] [PubMed]
[8] Shehabi, Y., Bellomo, R., Reade, M.C., et al. (2012) Early Intensive Care Sedation Predicts Long-Term Mortality in Ventilated Critically Ill Patients. American Journal of Respiratory and Critical Care Medicine, 186, 724-731. [Google Scholar] [CrossRef
[9] Barr, J., Fraser, G.L., Puntillo, K., et al. (2013) Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit. Critical Care Medicine, 41, 263-306. [Google Scholar] [CrossRef
[10] Kress, J.P., Pohlman, A.S., O’Connor, M.F., et al. (2000) Daily Interruption of Sedative Infusions in Critically Ill Patients Undergoing Mechanical Ventilation. The New England Journal of Medicine, 342, 1471-1477. [Google Scholar] [CrossRef
[11] Vagionas, D., Vasileiadis, I., Rovina, N., et al. (2019) Daily Sedation Interruption and Mechanical Ventilation Weaning: A Literature Review. Anaesthesiology Intensive Therapy, 51, 380-389. [Google Scholar] [CrossRef] [PubMed]
[12] Seibert, S.E., Wang, G. and Courtright, S.H. (2011) Ante-cedents and Consequences of Psychological and Team Empowerment in Organizations: A Meta-Analysis Review. Jour-nal of Applied Psychology, 96, 981-1003. [Google Scholar] [CrossRef] [PubMed]
[13] Devlin, J.W., Skrobik, Y., Gélinas, C., et al. (2018) Clinical Practice Guide-lines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Critical Care Medicine, 46, e825-e873.
[14] 吕娇, 黄静. 每日唤醒计划在ICU机械通气患者镇静过程中的实施[J]. 中国现代药物应用, 2018, 12(4): 20-21.
[15] Miller, M.A., Krein, S.L., Saint, S., et al. (2012) Organisational Characteristics Associated with the Use of Daily Interruption of Sedation in US Hospitals: A Na-tional Study. BMJ Quality & Safety, 21, 145-151. [Google Scholar] [CrossRef] [PubMed]
[16] 邓琪, 胡明, 闫闪闪, 等. 每日唤醒疗法在ICU机械通气患者实施镇痛镇静中的效果评价[J]. 黔南民族医专学报, 2019, 32(2): 142-145.
[17] Bryan, D. (2010) Daily Interrup-tion of Sedation Patients Treated with Mechanical Ventilation. American Journal of Health-System Pharmacy, 67, 1002-1006. [Google Scholar] [CrossRef] [PubMed]
[18] 吴莺, 黄珏, 陈黎佳. 改良eCASH策略与每日唤醒在机械通气患者谵妄预防干预中的应用[J]. 护理实践与研究, 2021, 18(5): 761-764.
[19] 许久玲, 张晓路. 每日唤醒干预模式对机械通气镇静治疗病人临床效果及不良事件的影响[J]. 护理研究, 2016, 30(8): 2842-2845.
[20] 曹莉, 钮晋红, 韦妍飞, 等. 机械通气每日唤醒镇静策略研究进展[J]. 实用医学杂志, 2012, 8(19): 3159-3160.
[21] Egerod, I., Albarran, J.W., Ring, M., et al. (2013) Sedation Practice in Nordic and Non-Nordic ICUs: A European Survey. Nursing in Critical Care, 18, 166-175. [Google Scholar] [CrossRef] [PubMed]
[22] 钱露. ICU护士对每日唤醒的认知和实践情况的调查[D]: [硕士学位论文]. 杭州: 浙江大学, 2011: 1.
[23] 江智霞, 林凤芝. ICU患者早期活动及其阻碍因素的研究进展[J]. 中华急危重症护理杂志, 2020, 1(6): 508-511.
[24] Borges, L.G.A., Savi, A., Teixeira, C., et al. (2017) Mechanical Ventilation Weaning Protocol Improves Medical Adherence and Results. Journal of Critical Care, 41, 296-302. [Google Scholar] [CrossRef] [PubMed]
[25] Gill, K.V., Voils, S.A., Chenault, G.A., et al. (2012) Perceived versus Actual Sedation Practices in Adult Intensive Care Unit Patients Re-ceiving Mechanical Ventilation. Annals of Pharmacotherapy, 46, 1331-1339. [Google Scholar] [CrossRef
[26] 陈梦霞, 牟园芬, 陈艳玲, 等. 集束化策略在机械通气患者中的应用效果评价[J]. 中华护理杂志, 2020, 55(9): 1292-1296.
[27] 廖士妃, 杨益萍, 黄艳. 护士主导每日唤醒在机械通气患者中的应用研究[J]. 齐齐哈尔医学院学报, 2016, 37(35): 4484-4485.
[28] Vasilevskis, E., Ely, E.W., Speroff, T., et al. (2010) Reducing Iatrogenic Risks: ICU-Acquired Delirium and Weakness-Crossing the Quality Chasm. Chest, 138, 1224-1233. [Google Scholar] [CrossRef] [PubMed]
[29] Saint, S., Kowalski, C., Banaszak-Holl, J., et al. (2010) The Importance of Leadership in Preventing Healthcare-Associated Infection: Results of a Multisite Qualitative Study. Infection Control & Hospital Epidemiology, 31, 901-907. [Google Scholar] [CrossRef] [PubMed]