结果,干预组病人在为期28天的研究期限内无需辅助通气的呼吸时间更长(14.7天vs11.6天;平均差3.1天;95%CI=0.7-5.6;P=0.02),并且可以更早转出ICU(平均在ICU的时间:9.1天vs12.9天,P=0.01),更早出院(平均住院时间14.9天vs19.2天,P=0.04)。此外,在入组后,接受SAT+ SBT的病人比...
结果,干预组病人在为期28天的研究期限内无需辅助通气的呼吸时间更长(14.7天vs11.6天;平均差3.1天;95%CI=0.7-5.6;P=0.02),并且可以更早转出ICU(平均在ICU的时间:9.1天vs12.9天,P=0.01),更早出院(平均住院时间14.9天vs19.2天,P=0.04)。此外,在入组后,接受SAT+ SBT的病人比单单接受SBT的病人死亡的可能性要...
在床边筛查和诊断谵妄有许多许多工具,其中最常用和最有效的是重症监护谵妄筛查检查表Intensive Care Delirium Screening Checklist(ICDSC)和Confusion Assessment Method for the Intensive Care Unit(CAM-ICU)。目前,PADIS指南并不建议在药理学上预防谵妄,而是建议将重点放在改善睡眠卫生、实行早期活动、改善ICU环境以帮助...
因此,在ABCDEF集束化管理方案外引入三个额外的字母人道主义照护,包括获得(G)对患者需求、全方位,个性化的“家庭式”照护(H),ICU设计的再定义(I),通过改善重症监护室的声音、灯光控制、楼层规划和房间布置等,最大限度地减少患者心理压力和谵妄的发生,为ICU未来的环境和实践模式提供了参考。 ·参考文献 · [1]Ko...
D:Delirium: Assessment, Prevention, and Management(谵妄:评估、预防和管理) E:Early Mobility and Exercise(早期活动和运动) F:Family Engagement and Empowerment(家庭的参与与配合) ·二、ABCDEFGHI · 除了传统的ABCDEF集束化管理之外,针对ICU患者,为了最大限度地减少谵妄的发生及改善预后,集束化管理方案增加了人...
of Drugs, Delirium Monitoring/Management, Early Exercise/Mobility, and Family Empowerment" (ABCDEF) Bundle. Crit Care Med. 2017 Nov;45(11):e1111-e1122. doi: 10.1097/CCM.0000000000002640. PMID: 28787293; PMCID: PMC5640479.
ABCDEF集束化措施包括:Assess, prevent, and manage pain(评估、预防和处理疼痛); Both spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT)(自主唤醒试验和自主呼吸试验); Choice of analgesia and sedation(止痛和镇静药的选择); Delirium:a...
Latronico N. Worldwide Survey of the 'Assessing Pain, Both Spontaneous Awakening and Breathing Trials, Choice of Drugs, Delirium Monitoring/Management, Early Exercise/Mobility, and Family Empowerment' (ABCDEF) Bundle. Crit Care Med. 2017 Nov;45(11):e1111-e1122. doi: 10.1097/CCM.0000000000002640...
Latronico N. Worldwide Survey of the 'Assessing Pain, Both Spontaneous Awakening and Breathing Trials, Choice of Drugs, Delirium Monitoring/Management, Early Exercise/Mobility, and Family Empowerment' (ABCDEF) Bundle. Crit Care Med. 2017 Nov;45(11):e1111-e1122. doi: 10.1097/CCM.0000000000002640...
ICUliberation:pain,agitation,anddeliriumguidelinesandtheconceptoftheABCDEFbundle。重症监护病房成人患者疼痛、躁动和谵妄管理的临床实践指南（ICUPAD)与ABCDEF集束化策略的概念。2ABCDEF Assess,Prevent,andManagePain 评估、预防和处理疼痛 疼痛是一种常见的，通常是每天发生的临床症状，接近50%的ICU患者经历疼痛。但是...