浅镇静,要多浅？.pptx

浅镇静，要多浅？;“….But what I see these days are paralyzed, sedated patients, Lying without motion, appearing to be dead, except for the Monitors that tell me otherwise.” Thomas L. Petty;当今镇静所关注的问题;;Rationales for light Sedation ;Benefit from light sedation;;;Light versus deep sedation on mental health after critical illness; 区别什么是浅镇静和深镇静. 解释浅镇静的临床预后. 临床试验研究. ;Proportion of time spent on target Ramsay sedation goal;;死亡率, 住院时间, 器官衰竭,机械通气时间 ;Lancet 2010; 375: 475–80;轻度镇静还是不镇静?;Sedatives and morphine usage;镇静组Propofol 实际给与量： 54.11mg/hr (中位数) =1%