Some patients with severe mechanical ventilation often experience a variety of adverse physical and psychological experience, ICU (ICU) approach is to take routine sedation measures on patients, so as to alleviate patient discomfort, ensure mechanical ventilation treatment smoothly, but also play a role in organ protection. However, sedation plays a positive role in the process, and at the same time, it also produces many adverse consequences, and even more harm than good. Therefore, how to choose the appropriate sedation strategy in ICU is always a difficult problem to solve.
There is a positive side to sedation in patients with severe ICU, but there are many concerns in the actual operation process, so many ICU did not really implement sedation measures. In 2006, a multi center survey of 31 three grade A hospitals in China showed that 37.4% of the patients did not give any sedative treatment, and only 14.7% received analgesia based systematic sedation. The clinician identity of ICU sedation rate is high, but the importance of the implementation of the main reason lies in the less sedative treatment has a negative effect on the respiratory and circulatory system, lack of monitoring equipment, frequent monitoring of required personnel is insufficient, and there is still a lack of effective sedation assessment method, prone to inadequate sedation or excessive sedation, resulting in a a series of new problems.
The scope of the application of ICU is increasing, and it is constantly improving and popularizing. How to make use of space, manpower and funds more rationally and effectively to configure and manage and maintain its equipment has become a very important problem.
Because the patients in the ICU ward are different from the patients in the general ward, their ward pattern design, environmental requirements, sickbed function and peripherals are all different from those in the general ward, and ICU of different specialties requires different equipment. The design and equipment configuration of the ward should be based on the principle of meeting the needs, saving the rescue and reducing the pollution.
ICU sedation therapy development so far, "individualized treatment of patients as the center" is the sedative treatment medical guidelines, through reasonable sedation measures not only make patients feel comfortable, to achieve the protective effect of organs and can avoid the adverse consequences caused by shallow or excessive sedation, sedation to achieve maximum benefit. The sedation process needs strict monitoring and evaluation, but at present, medical resources are still scarce. To truly achieve a comprehensive individualized sedation treatment, the majority of medical staff still need to work together.
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