中华护理杂志 ›› 2020, Vol. 55 ›› Issue (10): 1583-1587.DOI: 10.3761/j.issn.0254-1769.2020.10.025
收稿日期:
2019-10-03
出版日期:
2020-10-15
发布日期:
2020-09-27
通讯作者:
诸纪华
作者简介:
丁亚平:女,硕士,护师,E-mail: DING Yaping(),ZHU Jihua(),ZHOU Hongqin,XIA Shanshan
Received:
2019-10-03
Online:
2020-10-15
Published:
2020-09-27
Contact:
Jihua ZHU
摘要:
每日唤醒指在连续性使用镇静药物的过程中,每日进行短时间的停用镇静药物,待患者逐渐清醒,能够根据指示做出相对应动作后再重新给予镇静治疗。该文介绍了每日唤醒的起源与发展,阐述了每日唤醒的实施者、实施对象、干预方式、评估工具,分析并探讨了每日唤醒在机械通气镇静患儿中的应用效果,并提出相关建议,以期为我国开展相关实践提供借鉴与参考。
丁亚平,诸纪华,周红琴,夏姗姗. 每日唤醒应用于机械通气镇静患儿的研究进展[J]. 中华护理杂志, 2020, 55(10): 1583-1587.
DING Yaping,ZHU Jihua,ZHOU Hongqin,XIA Shanshan. Research progress on daily interruption of sedation on children with mechanical ventilation[J]. Chinese Journal of Nursing, 2020, 55(10): 1583-1587.
[1] | 吴琼, 江智霞, 潘燕彬, 等. 机械通气患者发生谵妄的影响因素分析[J]. 中华护理杂志, 2018,53(5):543-548. |
Wu Q, Jiang ZX, Pan YB, et al. Analysis of risk factors of delirium in patients with mechanical ventilation in intensive care unit[J]. Chin J Nurs, 2018,53(5):543-548. | |
[2] | 吴永红, 贡浩凌, 高燕. 持续浅镇静目标导向调控方案在机械通气患者中的应用研究[J]. 中华护理杂志, 2017,52(4):400-404. |
Wu YH, Gong HL, Gao Y. Application of goal-oriented scheme for continuous mild sedation among patients with mechanical ventilation[J]. Chin J Nurs, 2017,52(4):400-404. | |
[3] | Azzam MA, Elngar EF, Shimaa A, et al. Daily sedation interruption versus routine sedation in critically ill children:a systematic review and meta-analysis[J]. Egypt J Anaesth, 2019,35(1):71-79. |
[4] |
Harris J Ramelet AS van Dijk M, et al. Clinical recommendations for pain,sedation,withdrawal and delirium assessment in critically ill infants and children:an ESPNIC position statement for healthcare professionals[J]. Intensive Care Med, 2016,42(6):972-986.
DOI URL PMID |
[5] | Shahabi M, Yousefi H, Yazdannik AR, et al. The effect of daily sedation interruption protocol on early incidence of ventilator-associated pneumonia among patients hospitalized in critical care units receiving mechanical ventilation[J]. Iran J Nurs Mid-wifery Res, 2016,21(5):541-546. |
[6] |
Vet NJ Ista E de Wildt SN, et al. Optimal sedation in pediatric intensive care patients:a systematic review[J]. Intensive Care Med, 2013,39(9):1524-1534.
DOI URL PMID |
[7] |
Augustes R, Ho KM. Meta-analysis of randomised controlled trials on daily sedation interruption for critically ill adult patients[J]. Anaesth Intensive Care, 2011,39(3):401-409.
DOI URL PMID |
[8] | 中华医学会重症医学分会. 中国成人ICU镇痛和镇静治疗指南[J]. 中华重症医学电子杂志, 2018,4(2):90-113. |
Chinese Society of Critical Care Medicine,Chinese Medical Association. Guidelines for analgesia and sedation treatment in intensive care unit of Chinese adults[J]. Chin Crit Care Med, 2018,4(2):90-113. | |
[9] |
Kress JP, Pohlman AS, O’ Connor MF, et al. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation[J]. N Engl J Med, 2000,342(20):1471-1477.
DOI URL PMID |
[10] |
Girard TD, Kress JP, Fuchs BD, et al. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care(awakening and breathing controlled trial):a randomised controlled trial[J]. Lancet, 2008,371(9607):126-134.
DOI URL PMID |
[11] |
Nassar Junior AP, Park M. Daily sedative interruption versus intermittent sedation in mechanically ventilated critically ill patients:a randomized trial[J]. Ann Intensive Care, 2014,4:14.
DOI URL PMID |
[12] |
Barr J, Fraser GL, Puntillo K, et al. Clinical Practice Guidelines for the Management of Pain,Agitation,and Delirium in Adult Patients in the Intensive Care Unit[J]. Crit Care Med, 2013,41(1):263-306.
DOI URL PMID |
[13] |
Verlaat CWM, Heesen GP, Vet NJ, et al. Randomized contro-lled trial of daily interruption of sedatives in critically ill children[J]. Paediatr Anaesth, 2014,24(2):151-156.
DOI URL PMID |
[14] |
Wildschut ED, Hanekamp MN, Vet NJ, et al. Feasibility of sedation and analgesia interruption following cannulation in neonates on extracorporeal membrane oxygenation[J]. Intensive Care Med, 2010,36(9):1587-1591.
DOI URL PMID |
[15] |
Mehta S, Burry L, Martinez-Motta JC, et al. A randomized trial of daily awakening in critically ill patients managed with a sedation protocol:a pilot trial[J]. Crit Care Med, 2008,36(7):2092-2099.
DOI URL PMID |
[16] |
van Dijk M, Peters JW, van Deventer P, et al. The Comfort Behavior Scale:a tool for assessing pain and sedation in infants[J]. Am J Nurs, 2005,105(1):33-36.
DOI URL PMID |
[17] | Hayden J, Dawkins I, Breatnach C, et al. A descriptive observational study of sedation outcomes and practices in mechanically ventilated children in an Irish PICU to inform future sedative effectiveness research studies[J]. Eur J Pediatr, 2016,175(11):1640-1641. |
[18] | 刘佐嘉, 卫婉蕊, 戈晓华. 舒适行为量表与镇静行为量表在儿童机械通气患儿镇静程度评估中应用效果比较[J]. 解放军护理杂志, 2018,35(19):17-22,55. |
Liu ZJ, Wei WR, Ge XH. Comparative Study of Comfort Behavior Scale and State Behavior Scale in Sedation Assessment for Ventilated Children[J]. Nurs J Chin PLA, 2018,35(19):17-22,55. | |
[19] |
Bai JB, Hsu L, Tang Y, et al. Validation of the Comfort Behavior Scale and the Flacc Scale for pain assessment in Chinese children after cardiac surgery[J]. Pain Manag Nurs, 2012,13(1):18-26.
DOI URL |
[20] | 王荃, 钱素云. 危重儿童常用镇静镇痛评估方法[J]. 中国小儿急救医学, 2014,21(2):79-83. |
Wang Q, Qian SY. The assessment of sedation and analgesia in critical children[J]. Chin Pediatr Emerg Med, 2014,21(2):79-83. | |
[21] | 中华医学会儿科学分会急救学组, 中华医学会急诊医学分会儿科学组, 中国医师协会重症医学医师分会儿科专业委员会. 儿童重症监护治疗病房镇痛和镇静治疗专家共识(2013版)[J]. 中华儿科杂志, 2014,52(3):189-193. |
The Emergency Medicine Group,Society of Pediatrics,Chinese Medical Association; the Pediatrics Group,Society of Emergency Medicine,Chinese Medical Association; the Pediatrics Professional Committee,Chinese Association of Critical Care Physicians. Expert consensus on analgesia and sedation in the pediatric intensive care unit(2013 edition)[J]. Chin J Pediatr, 2014,52(3):189-193. | |
[22] |
Lu X, Li J, Li T, et al. Clinical study of midazolam sequential with dexmedetomidine for agitated patients undergoing weaning to implement light sedation in intensive care unit[J]. Zhonghua Chuang Shang Za Zhi, 2016,19(2):94-96.
DOI URL PMID |
[23] | Saliski M, Kudchadkar SR. Optimizing sedation management to promote early mobilization for critically ill children[J]. J Pe-diatr Intensive Care, 2015,4(4):188-193. |
[24] |
Verlaat CW, Heesen GP, Vet NJ, et al. Randomized controlled trial of daily interruption of sedatives in critically ill children[J]. Paediatr Anaesth, 2014,24(2):151-156.
DOI URL PMID |
[25] |
Gupta K, Gupta VK, Jayashree M, et al. Randomized controlled trial of interrupted versus continuous sedative infusions in ventilated children[J]. Pediatr Crit Care Med, 2012,13(2):131-135.
DOI URL PMID |
[26] | Azis H, Triratna S, Bahar E. Continuous sedation vs. daily sedation interruption in mechanically-ventilated children[J]. Pae-diatr Indonesiana, 2016,56(1):19. |
[27] | 刘敏, 冯其梅. 机械通气镇静患者每日唤醒核查表的设计及临床应用[J]. 中国护理管理, 2016,16(3):422-427. |
Liu M, Feng QM. Design and clinical application of daily awaking verification scale in patients with mechanical ventilation and sedation[J]. Chin Nurs Manag, 2016,16(3):422-427. | |
[28] |
Vet NJ, De Wildt SN, Verlaat CW, et al. Short-term health-related quality of life of critically ill children following daily sedation interruption[J]. Pediatr Crit Care Med, 2016,17(11):e513-e520.
DOI URL PMID |
[29] |
Nienke J Vet Saskia N de VeWildtt Carin WM Verlaat, et al. A randomized controlled trial of daily sedation interruption in critically ill children[J]. Intensive Care Med, 2016,42(2):233-244.
DOI URL PMID |
[30] |
Kayir S, Ulusoy H, Dogan G. The effect of daily sedation-weaning application on morbidity and mortality in intensive care unit patients[J]. Cureus, 2018,10(1):e2062.
DOI URL PMID |
[31] | 陈泓伯, 刘俊, 陈利钦, 等. 每日唤醒在ICU机械通气镇静患者中应用效果的meta分析[J]. 中华护理杂志, 2014,49(9):1029-1034. |
Chen HB, Liu J, Chen LQ, et al. Effectiveness of daily interruption of sedation in sedated patients with mechanical ventilation in ICU:a meta-analysis[J]. Chin J Nurs, 2014,49(9):1029-1034. | |
[32] | Burry LD, Williamson DR, Perreault MM, et al. Analgesic,seda-tive,antipsychotic,and neuromuscular blocker use in Canadian intensive care units:a prospective,multicentre,observational study[J]. J Can D’anesthesie, 2014,61(7):619-630. |
[33] |
Sneyers B, Henrard S, Laterre PF, et al. Predictors of clinicians’underuse of daily sedation interruption and sedation scales[J]. J Crit Care, 2017,38:182-189.
DOI URL PMID |
[34] |
Borkowska M, Labeau S, Schepens T, et al. Nurses’ sedation prac-tices during weaning of adults from mechanical ventilation in an intensive care unit[J]. Am J Crit Care, 2018,27(1):32-42.
DOI URL PMID |
[35] | 钱露. ICU护士对每日唤醒的认知和实践情况的调查[D]. 杭州:浙江大学, 2011. |
Qian L. Assessment of daily interruption of sedative infusions in ICU:nursing practices and perceptions[D]. Hangzhou:Zhejiang University, 2011. |
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