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중환자에서의 진정 진통 치료

Title
중환자에서의 진정 진통 치료
Author
김태형
Keywords
Anesthesia; Analgesia; Respiration, Artificial
Issue Date
2012-02
Publisher
대한결핵및호흡기학회
Citation
Tuberculosis and Respiratory Diseases, 2012, 72(2), P.117-123
Abstract
Optimal level of sedation and analgesia is important for the comfort and safety of critically ill patients. However, suboptimal sedation is relatively common in the intensive care unit (ICU) and it could cause prolonged mechanical ventilation and ICU stay, also increase delirium and ICU acquired weakness and resultant decreased survival. Therefore, accurate assessment of the level of sedation and analgesia, maintaining adequate level of sedation, and daily evaluation of each patient and following adjustment could be important treatment strategy in critically ill patients. Recently, the strategy for sedation in the ICU is changing toward the direction of lowering sedation level or even "no sedation" with concurrent use of analgesics and the use of ultra short acting analgesics could be helpful in some patients. Clinicians should be aware of the importance of algorithmic approach including daily interruption of sedative and assessment of sedation level and especially in the patients under mechanical ventilation, organizational approaches such as the 'ABCDE' bundle could improve the management of critically ill patients.
URI
https://synapse.koreamed.org/DOIx.php?id=10.4046/trd.2012.72.2.117
ISSN
1738-3536; 2005-6184
DOI
10.4046/trd.2012.72.2.117
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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