镇痛镇静治疗是重症监护室的常规治疗之一,随着镇痛镇静观念在 ICU 的普及,相关并发症也随之增加.本文综述了镇痛镇静治疗的定义、目的、指征、评估与监测方法及相关药物的选择,同时介绍了以循证医学为基础组织起来的镇痛镇静集束干预策略及相关措施,即 ABCDE Bundle,包括每日镇静中的唤醒(Awakening)、呼吸同步(Breathing)、镇静和镇痛药物的选择或应用(Choice)、谵妄(Delirium)的监测和处理、早期(Early)运动(Exercise)和锻炼.
<正>留置胃管是ICU常见的一项侵袭性技能,不熟练或护理不恰当都会给患者带来痛苦和损伤,甚至造成更严重的并发症。一般情况下,根据以往经验,配合吞咽动作,大部分可顺利留置。但根据经验盲插,存在很大的偶然性和缺陷。尤其针对一些特殊患者,盲插非常危险。因此,在临床工作中,如何有效快速的成功留置胃管是一直以来需要不断改进的一项重要技术。现将我院综合ICU自2010年10月至2011年12月收治的16例困难置胃管患者,成功留置的案例汇总,报告如下。1资料与方法1.1一般资料16例患者中男12
182 nursing students from the ICU were divided into an experimental group and a control group,each consisting of 91 students.The experimental group was assessed with a formative evaluation method while the control group with atraditional evaluation method.The test scores achieved by the two groups were compared.The experimental group was required to answer a questionnaire survey.The results show that the formative evaluation is conducive to improving nursing students' motivation to learn and to comprehensive development of nursing students.
