右美托咪定在重症医学科患者纤维支气管镜检查中的应用
发布时间：2019-02-18 22:54
【摘要】：目的探讨右美托咪定应用于重症医学科(ICU)重症患者床旁纤维支气管镜检查中的镇静效果。方法观察2012年3月至2014年12月在该院ICU病房接受有创机械通气治疗并需要进行纤维支气管镜检查的患者32例,操作过程中给予右美托咪定镇静,观察其镇静效果及不良事件的发生率。结果患者均在右美托咪定负荷剂量期间达到目标镇静评分,时间(8.2±2.1)min;25例患者在纤维支气管镜操作期间出现躁动镇静评分量表(RASS)评分≥-3;观察期间出现不良事件的发生率为87.5%,其中主要为呛咳、气管痉挛,血氧饱和度(Sp O2)下降;操作医生对患者纤维支气管镜期间的镇静满意度评分为(5.8±1.9)分。结论 ICU重症患者床旁纤维支气管镜检查中给予右美托咪定镇静治疗,可部分抑制纤维支气管镜操作所引起的应激反应,但难以维持深度镇静水平。
[Abstract]:Objective to investigate the sedation effect of dexmetomidine on bedside fiberoptic bronchoscopy in severe (ICU) patients. Methods from March 2012 to December 2014, 32 patients who received invasive mechanical ventilation in ICU ward and needed fiberoptic bronchoscopy were treated with dexmetomidine sedation. The sedation effect and the incidence of adverse events were observed. Results all the patients achieved the goal sedative score during the loading dose of dexmetidine, and the time was (8.2 卤2.1) min;25 patients developed restlessness sedative score scale (RASS) 鈮，
本文编号：2426294
[Abstract]:Objective to investigate the sedation effect of dexmetomidine on bedside fiberoptic bronchoscopy in severe (ICU) patients. Methods from March 2012 to December 2014, 32 patients who received invasive mechanical ventilation in ICU ward and needed fiberoptic bronchoscopy were treated with dexmetomidine sedation. The sedation effect and the incidence of adverse events were observed. Results all the patients achieved the goal sedative score during the loading dose of dexmetidine, and the time was (8.2 卤2.1) min;25 patients developed restlessness sedative score scale (RASS) 鈮，
本文编号：2426294
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