نتایج جستجو برای: richmond agitation sedation scale
تعداد نتایج: 595824 فیلتر نتایج به سال:
سابقه و هدف: بیماران تحت تهویه مکانیکی به دلیل اضطراب، استرس و تحریکات لوله تراشه دچار بی قراری می شوند، که تهدیدی در روند انجام تهویه مکانیکی است و می تواند تنگی نفس، گیجی و ناتوانی ایجاد نماید. کنترل بی قراری با استفاده از داروها و محدودیت فیزیکی عوارض جانبی نامطلوبی به هم راه دارد، لذا این مطالعه با هدف تعیین تاثیر لمس بر بی قراری بیماران تحت تهویه مکانیکی صورت پذیرفت. مواد و روش ها:این پژوه...
The effective delivery of sedation in critical care relies primarily on an accurate and consistent measure of a patient's agitation level. However, current methods for assessing agitation are subjective and prone to error, often leading to over sedation or cycles between agitation and oversedation. This paper builds on previous work developing agitation sensors based on heart rate and blood pre...
Background. Spontaneous breathing trials (SBTs) are standard of care in assessing extubation readiness; however, there are no universally accepted guidelines regarding their precise performance and reporting. Objective. To investigate variability in SBT practice across centres. Methods. Data from 680 patients undergoing 931 SBTs from eight North American centres from the Weaning and Variability...
BACKGROUND Use of protocols to reduce weaning time for patients receiving mechanical ventilation helps reduce cost and length of stay. However, implementation of this type of protocol is not easy and requires a consistent collaborative effort. OBJECTIVE To provide a systematic approach to the weaning process by developing, implementing, and evaluating a protocol for weaning patients from mech...
BACKGROUND Delirium is associated with increased mortality, morbidity, hospital costs, and postdischarge cognitive dysfunction. Most research focuses on nontrauma patients receiving mechanical ventilation in the intensive care unit. OBJECTIVES To determine the prevalence and predictors of delirium in trauma patients residing in intensive and intermediate care units of an academic medical cent...
INTRODUCTION Tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. Methods of pain control such as use of non-steroidal anti-inflammatory drugs (NSAIDs), narcotics, and local anesthetics have been used, but each have their own particular side effects. In this study we investigated the effect of ketamine on post-...
CONTEXT Gamma-aminobutyric acid receptor agonist medications are the most commonly used sedatives for intensive care unit (ICU) patients, yet preliminary evidence indicates that the alpha(2) agonist dexmedetomidine may have distinct advantages. OBJECTIVE To compare the efficacy and safety of prolonged sedation with dexmedetomidine vs midazolam for mechanically ventilated patients. DESIGN, S...
Background: Delirium is a disturbance in attention awareness which develops in short period of time & fluctuate in severity. Its associated with functional disability, cognitive impairment, dementia & death in ICU inpatients. Objective: To Study the incidence & risk factors of delirium in intensive care unit (ICU) patients . Method: In an observational, non-interventional study, 486 ICU patient...
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