The ABCDEF Bundle in Critical Care

被引：457

作者：

Marra, Annachiara ^{[1
]}

Ely, E. Wesley ^{[2
]}

Pandharipande, Pratik P. ^{[3
]}

Patel, Mayur B. ^{[4
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Div Allergy Pulm & Crit Care Med, Ctr Hlth Serv Res,Univ Naples Federico 2, 1215 21st Ave South,Med Ctr East,Suite 6100, Nashville, TN 37232 USA

[2] Vanderbilt Univ, Med Ctr, Div Allergy Pulm & Crit Care Med, VA GRECC,Ctr Hlth Serv Res, 1215 21st Ave South,Med Ctr East,Suite 6109, Nashville, TN 37232 USA

[3] Vanderbilt Univ, Med Ctr, Div Anesthesiol Crit Care Med, Dept Anesthesiol,Ctr Hlth Serv Res, 1211 21st Ave South,Med Arts Bldg,Suite 526, Nashville, TN 37212 USA

[4] Vanderbilt Univ, Med Ctr, Div Trauma Surg Crit Care & Emergency Gen Surg, Sect Surg Sci,Dept Surg,Ctr Hlth Serv Res, 1211 21st Ave South,Med Arts Bldg,Suite 404, Nashville, TN 37212 USA

来源：

CRITICAL CARE CLINICS | 2017年 / 33卷 / 02期

基金：

美国国家卫生研究院;

关键词：

Pain; Spontaneous awakening trials; Spontaneous breathing trials; Sedation; Analgesia; Delirium; Early mobility; Intensive care unit; MECHANICALLY VENTILATED PATIENTS; CONFUSION ASSESSMENT METHOD; POSTTRAUMATIC-STRESS-DISORDER; DAILY SEDATION INTERRUPTION; QUALITY-OF-LIFE; ILL PATIENTS; CRITICAL ILLNESS; FUNCTIONAL DISABILITY; ETHICS CONSULTATIONS; DECREASED DURATION;

D O I：

10.1016/j.ccc.2016.12.005

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The ABCDEF bundle represents an evidence-based guide for clinicians to approach the organizational changes needed for optimizing intensive care unit patient recovery and outcomes. This article reviews the core evidence and features behind the ABCDEF bundle. The bundle has individual components that are clearly defined, flexible to implement, and help empower multidisciplinary clinicians and families in the shared care of the critically ill. The ABCDEF bundle helps guide well-rounded patient care and optimal resource utilization resulting in more interactive intensive care unit patients with better controlled pain, who can safely participate in higher-order physical and cognitive activities at the earliest point in their critical illness.

引用

页码：225 / +

页数：20

共 77 条

[1] Early activity is feasible and safe in respiratory failure patients [J].