危重患者镇静镇痛共

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,重症监护病房镇静治疗的应用,北京朝阳医院京西院区ICU,米崧,Clinical practice guidelines for the sustained use of sedatives and,analgesics in the critically ill adult,Judith Jacobi,PhanmD,FCCM,BCPS;Gilles L.Fraser,PharmD,FCCM Douglas B.Coursin,MD,Richard R.Riker,MD:Dorrie Fontaine,RN.DNSC,FAAN:Eric T Wittbrodt.PharmD,Donald B Chaltin,MD,MS,FCCM;Michael F Masica,MD,MPH;H.Scott Bjerke,MD,Wiliam M.Coplin,MD;David W.Crippen,MD,FCCM;Barry D.Fuchs,MD;Ruth M.Kelleher,RN;,Paul E.Mark,MDBCh,FCCM;Stanley A.Nasraway,Jr,MD,FECM,;Michael J.Murray,MD,PhD,FCCM,Wiliam T Peruzzi,MD,FCCM;Philip D Lumb,MB,BS,FCCM Developed through the Task Force of the,American College of Critical Care Medicine(ACCM)of the Society of Critical Care Medicine(SCCM,in,colaboration with the American Society of Health-System Pharmacists(ASHP),and in alliance with the,American College of Chest Physicians;and approved by the board of Regents of ACCM and the Council of,SCCM and the ashp board of directors,rit care Mec2。l.3,No.1,为什么需要镇静、镇痛治疗,自身严重疾病的影响,隐匿性疼痛,难以自理,气管插管及其它各种插管,各种有创诊治操作,自身伤病的疼痛,长时间卧床,环境因素,对未来命运的忧虑,被约束于床上,对疾病预后的担心,灯光长明,昼夜不分,各种,噪音(机器声、报警声、呼,死亡的恐惧,喊声.),睡眠剥夺,对家人的思念与担心,邻床病人的抢救或去世,惧助,推荐意见1,镇痛镇静治疗应作为ICU治疗的重要组成,部分(B级,