Sedation and analgesia
Sedation and analgesia
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DOI：
10.1258/0007142991902303
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发表时间：
1999-01-01
影响因子：
6.7
通讯作者：
Park, GR
中科院分区：
文献类型：
--
作者：
Lerch, C;Park, GR
镇静是一个舒缓的过程（1）。理想镇静水平的概念是有争议的，在过去十年中已经发生了变化。从深度镇静（通常通过肌肉松弛剂增强，使患者完全脱离其环境）到轻度镇静（使患者昏昏欲睡但容易唤醒）的转变已被广泛接受（2，3）这种态度的变化是由复杂的通气模式带来的，允许呼吸机与患者自己的呼吸模式同步。此外，越来越多的人认识到过度镇静的不良反应有助于减少镇静深度（4，5）。
Sedation is a process of soothing(1). The concept of the ideal level of sedation is controversial and has changed over the last decade. A shift from deep sedation, often enhanced by muscle relaxants that completely detaches the patient from their environment, to light sedation rendering the patient sleepy but easily arousable has been widely accepted(2,3) This change in attitude has been brought about by sophisticated modes of ventilation allowing the ventilator to synchronise with the patient's own breathing pattern. In addition, the increasingly recognised adverse effects of over-sedation have contributed to the reduction in the depth of sedation(4,5).