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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Sedation practice: is it time to wake up and embrace change? | Available online http ccforum.eom content 12 1 102 Commentary Sedation practice is it time to wake up and embrace change Kate Regan and Owen Boyd Intensive Care Unit Royal Sussex County Hospital Eastern Road Brighton BN2 5BE UK Corresponding author Owen Boyd owen.boyd@bsuh.nhs.uk Published 8 January 2008 This article is online at http ecforum.eom eontent 12 1 102 2008 BioMed Central Ltd Critical Care 2008 12 102 doi 10.1186 cc6203 See related research by Martin et al. http ccforum.com content 11 6 R124 Abstract Recommendations for sedation regimes in the intensive care unit ICU have evolved over the last decade based on findings that relate the clinical approach to improved patient outcomes. Martin and co-workers conducted two surveys into German sedation practice covering the time period during which these changes occurred and as such provide an insight into how these recommendations are being incorporated into everyday clinical practice. In the previous issue of Critical Care Martin and co-workers 1 report the results of a survey examining changes in sedation management in German intensive care units ICUs . This review of 214 ICUs is made more informative by their use of the same questionnaire used by this group in 2002 allowing changes in practice to be evaluated. The recommended targets of sedation within the ICU have evolved over recent years led by a number of consensus statements. Patients that used to be heavily sedated to keep them compliant for invasive procedures are now easily roused for assessment communication and reassurance. Drug regimes have changed from being carer-orientated continuous infusions to patient-orientated regimes targeted around sedation scales. Furthermore daily interruptions in infusions avoid the build up of sedative drugs in the changing pharmacological environment of the ICU patient. Both of these strategies have been shown to reduce duration of mechanical ventilation and ICU stay 2 3 . The survey of Martin et al. reports the .
