Sedation and Analgesia for Mechanically Ventilated Patients in the Emergency Department

被引:6
作者
Noel, Christopher [1 ]
Mallemat, Haney [2 ]
机构
[1] Cooper Univ Hosp, Crit Care Med, One Cooper Plaza,D427C, Camden, NJ 08103 USA
[2] Cooper Univ Hosp, Camden, NJ 08103 USA
关键词
Sedation; Analgesia; Mechanical ventilation; Emergency medicine; Critically ill; CRITICALLY-ILL PATIENTS; INTENSIVE-CARE-UNIT; FEMORAL NERVE BLOCK; CLINICAL-PRACTICE GUIDELINES; GUILLAIN-BARRE-SYNDROME; LONG-TERM MORTALITY; CARDIAC-SURGERY; PAIN; PROPOFOL; DEXMEDETOMIDINE;
D O I
10.1016/j.emc.2019.04.004
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Mechanically ventilated patients can experience significant pain and anxiety associated with their care. These symptoms should be aggressively treated, but can be challenging to manage without a systematic approach. This article reviews recent literature, current guidelines, and best practices in managing pain, agitation, and anxiety in mechanically ventilated patients in the emergency department.
引用
收藏
页码:545 / +
页数:13
相关论文
共 55 条
[1]   Effect of a nursing-implemented sedation protocol on weaning outcome [J].
Arias-Rivera, Susana ;
Sanchez-Sanchez, Maria del Mar ;
Santos-Diaz, Rosa ;
Gallardo-Murillo, Juana ;
Sanchez-Izquierdo, Raquel ;
Frutos-Vivar, Fernando ;
Ferguson, Niall D. ;
Esteban, Andres .
CRITICAL CARE MEDICINE, 2008, 36 (07) :2054-2060
[2]   Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit [J].
Barr, Juliana ;
Fraser, Gilles L. ;
Puntillo, Kathleen ;
Ely, E. Wesley ;
Gelinas, Celine ;
Dasta, Joseph F. ;
Davidson, Judy E. ;
Devlin, John W. ;
Kress, John P. ;
Davidson, Judy E. ;
Devlin, John W. ;
Kress, John P. ;
Joffe, Aaron M. ;
Coursin, Douglas B. ;
Herr, Daniel L. ;
Tung, Avery ;
Robinson, Bryce R. H. ;
Fontaine, Dorrie K. ;
Ramsay, Michael A. ;
Riker, Richard R. ;
Sessler, Curtis N. ;
Pun, Brenda ;
Skrobik, Yoanna ;
Jaeschke, Roman .
CRITICAL CARE MEDICINE, 2013, 41 (01) :263-306
[3]   Prolonged sedation of critically ill patients with midazolam or propofol: Impact on weaning and costs [J].
BarrientosVega, R ;
SanchezSoria, MM ;
MoralesGarcia, C ;
RobasGomez, A ;
CuenaBoy, R ;
AyensaRincon, A .
CRITICAL CARE MEDICINE, 1997, 25 (01) :33-40
[4]   A Comparison of Ultrasound-guided Three-in-one Femoral Nerve Block Versus Parenteral Opioids Alone for Analgesia in Emergency Department Patients With Hip Fractures: A Randomized Controlled Trial [J].
Beaudoin, Francesca L. ;
Haran, John P. ;
Liebmann, Otto .
ACADEMIC EMERGENCY MEDICINE, 2013, 20 (06) :584-591
[5]  
Benbenbishty Julie, 2010, Intensive Crit Care Nurs, V26, P241, DOI 10.1016/j.iccn.2010.08.003
[6]   Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation [J].
Brook, AD ;
Ahrens, TS ;
Schaiff, R ;
Prentice, D ;
Sherman, G ;
Shannon, W ;
Kollef, MH .
CRITICAL CARE MEDICINE, 1999, 27 (12) :2609-2615
[7]   Guidelines for the Evaluation and Management of Status Epilepticus [J].
Brophy, Gretchen M. ;
Bell, Rodney ;
Claassen, Jan ;
Alldredge, Brian ;
Bleck, Thomas P. ;
Glauser, Tracy ;
LaRoche, Suzette M. ;
Riviello, James J., Jr. ;
Shutter, Lori ;
Sperling, Michael R. ;
Treiman, David M. ;
Vespa, Paul M. .
NEUROCRITICAL CARE, 2012, 17 (01) :3-23
[8]   Intravenous paracetamol as adjunctive treatment for postoperative pain after cardiac surgery: a double blind randomized controlled trial [J].
Cattabriga, Iolter ;
Pacini, Davide ;
Lamazza, Gaia ;
Talarico, Francesco ;
Di Bartolomeo, Roberto ;
Grillone, Giovanni ;
Bacchi-Reggiani, Letizia .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2007, 32 (03) :527-531
[9]   Comparative study of propofol versus midazolam in the sedation of critically ill patients: Results of a prospective, randomized, multicenter trial [J].
Chamorro, C ;
deLatorre, FJ ;
Montero, A ;
SanchezIzquierdo, JA ;
Jareno, A ;
Moreno, JA ;
Gonzalez, E ;
Barrios, M ;
Carpintero, JL ;
MartinSantos, F ;
Otero, B ;
Ginestal, R .
CRITICAL CARE MEDICINE, 1996, 24 (06) :932-939
[10]   Comparison of dexmedetomidine versus propofol on hemodynamics in surgical critically ill patients [J].
Chang, Ya-Fei ;
Chao, Anne ;
Shih, Po-Yuan ;
Hsu, Yen-Chun ;
Lee, Chen-Tse ;
Tien, Yu-Wen ;
Yeh, Yu-Chang ;
Chen, Lee-Wei .
JOURNAL OF SURGICAL RESEARCH, 2018, 228 :194-200