ABSTRACT
Objective To systematically review ICU-nurse lightly sedated patients, in order to provide evidence for sedation. Methods Databases were searched including The Cochrane Library, Joanna Briggs Institute Library, PubMed, EMbase, Ovid, ELSEVIER CMB, CNKI and WANFAN from inception to May 2018, to collect qualitative studies in the experience of ICU nurses lightly sedated patients. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods. Results A total of seven studies were included. Thirty-five complete findings were grouped according to their similarities to form six categories. These categories resulted in two synthesized findings: Despite the complexity and unknowns of care, critical care nurses were slowly accepting the fact and try to cope with; there were some barriers on the implementation of sedation, there should have a multi-party collaboration. Conclusions the heath management system should pay more attention to implementing light sedation strategies, ICU-nurses should be given support, guidance and encouragement.
ABSTRACT
With rapid development of our country's intensive medical, intensive medical doctors and nurses pay more and more attention to analgesic and sedation strategy. How to implement the analgesic and sedation strategy, the most important thing is how to eliminate the patients with severe pain, restlessness, anxiety, delirium, the purpose of inducing anterograde amnesia. This article expound the four aspects of content: the depth of sedation, the drug of analgesic and sedation, the analgesic and sedation strategy, nursing intervention. We provide some references for analgesic and sedation strategy in the future.
ABSTRACT
With rapid development of our country's intensive medical, intensive medical doctors and nurses pay more and more attention to analgesic and sedation strategy. How to implement the analgesic and sedation strategy, the most important thing is how to eliminate the patients with severe pain, restlessness, anxiety, delirium, the purpose of inducing anterograde amnesia. This article expound the four aspects of content: the depth of sedation, the drug of analgesic and sedation, the analgesic and sedation strategy, nursing intervention. We provide some references for analgesic and sedation strategy in the future.
ABSTRACT
The latest advance of sedation for critically ill adult patients in intensive care unit (ICU) was reviewed in order to provide certain clinical information for the ICU physicians about sedation. Guidelines, clinical research, Meta-analysis, and reviews in recent years were collected using electronic data base. Discussions included: ① the definition of light sedation, and its effects on clinical outcome, stress, sleep and delirium; ② light sedation strategies included: the target population, the target sedation strategy and daily sedation interruption, clinical assessment and monitoring of sedation, selection of sedative drugs, light sedation extenuation; ③ light sedation strategies and pain, agitation, delirium control bundles; ④ the problems and prospects of light sedation. Light sedation is the main principle of currently ICU sedation strategy in critically ill adult patients. Goal-directed light sedation should be considered as a routine therapy in most clinical situation, and its goal should be achieved as early as possible in the early stage of sedation. Routine use of benzodiazepines should be avoided, especially in patients with or at a risk of delirium. Prevention and treatment of agitation with a combination of non-pharmacologic or pharmacologic methods; ICU specification rules for pain, agitation and delirium prevention and treatment should be made. Light sedation is the main ICU sedation strategy in adult patients now, but must be individualized for each patient.