学科主题临床医学
Practice of sedation and the perception of discomfort during mechanical ventilation in Chinese intensive care units
Ma, Penglin1; Liu, Jingtao1; Xi, Xiuming2; Du, Bin3; Yuan, Xu4; Lin, Hongyuan5; Wang, Yu1; Su, Jinwen1; Zeng, Lin6
关键词Sedation Discomfort Ventilation
刊名JOURNAL OF CRITICAL CARE
2010-09-01
DOI10.1016/j.jcrc.2009.11.006
25期:3页:451-457
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Critical Care Medicine
资助者Chinese Society of Critical Care Medicine ; Chinese Society of Critical Care Medicine
研究领域[WOS]General & Internal Medicine
关键词[WOS]CRITICALLY-ILL PATIENTS ; CLINICAL-PRACTICE GUIDELINES ; PATIENTS RECOLLECTIONS ; ANALGESIA ; ADULT ; INTERRUPTION ; EXPERIENCES ; MEMORIES
英文摘要

Purpose: The purpose of this study was to investigate sedation practices and the perception of discomfort during mechanical ventilation in Chinese intensive care units (ICUs).

Material and Method: A prospective, observational, cohort study was conducted in 31 Chinese ICUs in academic hospitals from June 15 to August 15, 2006. Conscious patients who were discharged from the ICU after mechanical ventilation were consecutively included. Using a standardized questionnaire, a personal interview was conducted with each patient within 2 days after discharge from the ICU. Patients were asked about recollections of emotional and physical discomfort. Sedation and analgesia administration data were collected from patient records.

Results: As prospectively defined, 83 (50.9%) of 163 patients met criteria for complex-mixed discomfort (ie, at least I emotional and 2 physical disturbances). Similarly, 79.1% of patients remembered seriously uncomfortable experiences associated with 1 of the 3 predefined sources. Both protocolized sedation and continuous sedation without a defined protocol, but not intermittent sedation, significantly reduced the relative risk of complex-mixed discomfort occurrences (P < .001). Notably, only 14.7% of patients received protocolized sedation, and 61 (37.4%) of 163 were not given any sedatives.

Conclusion: Mechanically ventilated ICU patients in Chinese academic hospitals were inadequately treated for discomfort. Protocolized sedation can effectively improve patient comfort. (C) 2010 Elsevier Inc. All rights reserved.

语种英语
资助者Chinese Society of Critical Care Medicine ; Chinese Society of Critical Care Medicine
WOS记录号WOS:000282149100012
引用统计
被引频次:11[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65440
专题北京大学第三临床医学院_临床流行病学研究中心
作者单位1.Chinese Peoples Liberat Army Gen Hosp, Affiliated Hosp 2, Dept Crit Care Med, Beijing 100091, Peoples R China
2.Capital Med Univ, Fu Xing Hosp, SICU, Beijing 100038, Peoples R China
3.Beijing Union Med Coll Hosp, Med ICU, Beijing 100730, Peoples R China
4.Capital Med Univ, Tong Rong Hosp, SICU, Beijing 100730, Peoples R China
5.Chinese Peoples Liberat Army Gen Hosp, Affiliated Hosp 1, Dept Crit Care Med, Beijing 100048, Peoples R China
6.Peking Univ, Hosp 3, Res Ctr Clin Epidemiol, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Ma, Penglin,Liu, Jingtao,Xi, Xiuming,et al. Practice of sedation and the perception of discomfort during mechanical ventilation in Chinese intensive care units[J]. JOURNAL OF CRITICAL CARE,2010,25(3):451-457.
APA Ma, Penglin.,Liu, Jingtao.,Xi, Xiuming.,Du, Bin.,Yuan, Xu.,...&Zeng, Lin.(2010).Practice of sedation and the perception of discomfort during mechanical ventilation in Chinese intensive care units.JOURNAL OF CRITICAL CARE,25(3),451-457.
MLA Ma, Penglin,et al."Practice of sedation and the perception of discomfort during mechanical ventilation in Chinese intensive care units".JOURNAL OF CRITICAL CARE 25.3(2010):451-457.
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