Toward Solving the Sedation-Assessment Conundrum
Autor: | Carmelo Graffagnino, Kyloni Phillips, DaiWai M. Olson |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Sedation assessment business.industry medicine.drug_class Critically ill Sedation Nursing assessment Context (language use) Critical Care Nursing medicine.disease 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Sedative Critical illness medicine Medical emergency medicine.symptom business Intensive care medicine 030217 neurology & neurosurgery |
Zdroj: | Critical Care Nursing Clinics of North America. 28:205-216 |
ISSN: | 0899-5885 |
DOI: | 10.1016/j.cnc.2016.02.007 |
Popis: | The sedation-assessment conundrum is the struggle to balance the need for sedation against the need to awaken the patient and perform a neurologic examination. This article discusses the nuances of the sedation-assessment conundrum as well as approaches to resolve this and reduce the negative impact of abruptly stopping sedative infusions. Both oversedation and undersedation affect critically ill patients. This article discusses methods of assessing sedation and interpreting individualized patient responses to sedation. The use of neurofunction monitors and periods of sedation interruption are discussed within the context of addressing the sedation-assessment conundrum. |
Databáze: | OpenAIRE |
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