ICU镇痛镇静瞻妄评估.pptxVIP

ICU镇痛镇静、瞻妄评估;镇痛、镇静评估现状;镇痛、镇静评估重要性;不理想的镇痛镇静很大程度是由于没有统一的评价工具进行连续评估，系统一致的疼痛镇静评估对于疼痛治疗至关重要 1 Payen JF, Bru O, Bosson JL, Lagrasta A, Novel E, Deschaux I, Lavagne P, Jacquot C. Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med. 2001;29:2258–2263 2 Mularski RA. Pain management in the intensive care unit. Crit Care Clin. 2004;20:381–401 ;镇静、镇痛评价方法;镇静镇痛监测与评估的目标;疼痛评估;1. 数字评分法(Numeric rating scale, NRS) NRS在评价老年病人急、慢性疼痛的有效性及可靠性上已获得证实;2．描述性疼痛的程度分级法（Verbal rating scale，VRS）; ;4.疼痛行为列表（Behavioral Pain Scale , BPS）;BPS评分; 5、重症监护疼痛观察工具(Critical-Care P