tailieunhanh - Báo cáo y học: "Sedation practice in the intensive care unit: a UK national survey"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài:Sedation practice in the intensive care unit: a UK national survey. | Available online http content 1 2 6 R152 Research Sedation practice in the intensive care unit a UK national survey Henrik Reschreiter1 Matt Maiden1 and Atul Kapila2 1Royal Adelaide Hospital North Terrace Adelaide SA 5000 Australia 2Royal Berkshire and Battle Hospital NHS Trust London Road RG1 5AN Reading UK Corresponding author Henrik Reschreiter Received 6 Oct 2008 Revisions requested 5 Nov 2008 Revisions received 27 Nov 2008 Accepted 1 Dec 2008 Published 1 Dec 2008 Critical Care 2008 12 R152 doi cc7141 This article is online at http content 12 6 R152 2008 Reschreiter et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction The purpose of this study was to evaluate sedation practice in UK intensive care units ICUs particularly the implementation of daily sedation holding written sedation guidelines sedation scoring tools and choice of agents. Methods A national postal survey was conducted in all UK ICUs. Results A total of 192 responses out of 302 addressed units were received . Of the responding ICUs 88 used a sedation scoring tool most frequently the Ramsey Sedation Scale score . The majority of units have a written sedation guideline 80 and 78 state that daily sedation holding is practiced. A wide variety of sedating agents is used with the choice of agent largely determined by the duration of action rather than cost. The most frequently used agents were propofol and alfentanil for short-term sedation propofol midazolam and morphine for longer sedation and propofol for weaning purposes. Conclusions Most UK ICUs use a sedation guideline and sedation scoring tool. The concept of sedation holding has been implemented .