摘要
ICU后综合征(PICS)是指重症患者转出ICU后,在认知、心理和躯体方面新出现或加重的一系列功能障碍,严重影响患者的身体恢复和生存质量,并在出院后仍持续影响患者及其家庭。近年提出的镇痛镇静谵妄(PAD)指南、镇痛镇静集束化措施(ABCDE bundle)和e CASH滴定式镇静策略,均围绕PICS的防治,尤其是疼痛、躁动和谵妄的评估与治疗等方面提出了有效的防治措施。
Post intensive care syndrome （PICS） describes the disability that remains in the survivors of critical illness after an intensive care unit （ICU） stay. This syndrome comprises of impairment in cognition, psychological health, and physical function in the ICU survivors, and may lead to reduced quality of life, causing a lot of suffering to these patients and their families. Recommendations have been made for preventing PICS in the 2013 PAD guidelines, in the ABCDE bundle and in the eCASH concept, all of which prioritise the management of pain, agitation and delirium in adult patients in ICU.
出处
《中华重症医学电子杂志》
2017年第4期250-253,共4页
Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)
关键词
ICU后综合征
镇痛
镇静
Post intensive care syndrome
Analgesia
Sedation
