Sedation practice is it time to wake up and embrace change 英文参考文献.docVIP

Available online /content/12/1/102 Commentary Sedation practice: is it time to wake up and embrace change? Kate Regan and Owen Boyd Intensive Care Unit, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK Corresponding author: Owen Boyd, owen.boyd@bsuh.nhs.uk Published: 8 January 2008 Critical Care 2008, 12:102 (doi:10.1186/cc6203) This article is online at /content/12/1/102 ? 2008 BioMed Central Ltd See related research by Martin et al., /content/11/6/R124 Abstract everyday practice. This is despite strong endorsements for the use of sedation scales, patient-targeted sedation and daily sedation holds from the Society for Critical Care Medicine (SCCM) guidelines for sedation [4], the Surviving Sepsis Campaign guidelines [5] for the management of severe sepsis and the National Institute for Health ventilator care bundles. Recommendations for sedation regimes in the intensive care unit (ICU) have evolved over the last decade based on findings that relate the clinical approach to improved patient outcomes. Martin and co-workers conducted two surveys into German sedation practice covering the time period during which these changes occurred and as such provide an insight into how these recom- mendations are being incorporated into everyday clinical practice. The current survey also allows us to look at the changes in the use of different sedative agents. In the ICUs that responded to the survey, broadly, there is a trend away from a hypnosis-based approach with benzodiazepines, and towards In the previous issue of Critical Care, Martin and co-workers, [1] report the results of a survey examining changes in sedation management in German intensive care units (ICUs). This review of 214 ICUs is made more informative by their use of the same questionnaire used by this group in 2002, allowing changes in practi