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首页> 外文期刊>Current opinion in anaesthesiology >Delirium and sleep disturbances in the intensive care unit: Can we do better?
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Delirium and sleep disturbances in the intensive care unit: Can we do better?

机译：重症监护室的妄和睡眠障碍：我们能做得更好吗？

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Purpose of Review: Delirium in the ICU affects as many as 60-80% of mechanically ventilated patients and a smaller but substantial percentage of other critically ill patients. Poor sleep quality has been consistently observed in critically ill patients. These problems are associated with worse ICU outcomes and, in many cases, delirium and poor sleep quality may be related. This review will summarize the recent literature relevant to both the problems and provide a potential pathway toward improvement. Recent Findings: Many cases of delirium and the poor sleep experienced by ICU patients may be iatrogenic. How critical care practitioners prescribe sedatives and analgesics and, perhaps more broadly, how all medications are administered to critically ill patients, may be at the root of some of these problems. Reducing the administration of some commonly used ICU medications, especially some sedatives and anticholinergic medications, and keeping patients more awake and actively engaged in their care during the day may lead to better outcomes. Summary: It is our responsibility to apply the best available, evidence-based medicine to our practice. Adherence to new guidelines for the treatment of pain, agitation, and delirium may be the best pathway toward reducing delirium, improving sleep quality, and improving related outcomes.
机译：审查目的：ICU中的Deli妄影响多达60-80％的机械通气患者，而其他危重患者中的比例较小但很大。在危重病人中一直观察到不良的睡眠质量。这些问题与ICU结果差有关，在许多情况下，可能与ir妄和睡眠质量差有关。这篇综述将总结与这两个问题相关的最新文献，并提供改进的潜在途径。最新发现：许多ICU患者出现ir妄和睡眠不足的情况可能是医源性的。重症监护医生如何开具镇静剂和止痛药，也许更广泛地讲，如何对重症患者使用所有药物，可能是其中一些问题的根源。减少一些常用的ICU药物（尤其是某些镇静剂和抗胆碱能药物）的使用，并使患者在白天更加清醒并积极参与其护理，可能会导致更好的结果。简介：将最佳的循证医学应用于我们的实践是我们的责任。坚持治疗疼痛，躁动和del妄的新指南可能是减少del妄，改善睡眠质量和改善相关结局的最佳途径。

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