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Impact of Sedation Protocols on Elderly Patients Undergoing Mechanical Ventilation and Off-Line Weaning

作     者:Yihui Li Yamin Yuan Jinquan Zhou Li Ma 

作者机构:The Second Hospital&Clinical Medical SchoolLanzhou UniversityDepartment of Critical Care MedicineLanzhou 730030Gansu ProvinceChina 

出 版 物:《Journal of Clinical and Nursing Research》 (临床护理研究(英文))

年 卷 期:2024年第8卷第4期

页      面:322-333页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Elderly patients Mechanical ventilation Off-line strategy Sedation treatment 

摘      要:The proportion of elderly patients in intensive care is increasing, and a significant proportion of them require mechanical ventilation. How to implement safe and effective mechanical ventilation for elderly patients, and when appropriate off-line is an important issue in the field of critical care medicine. Appropriate sedation can improve patient outcomes, but excessive sedation may lead to prolonged mechanical ventilation and increase the risk of complications. Elderly patients should be closely monitored and evaluated on an individual basis while offline, and the sedation regimen should be dynamically adjusted. This requires the healthcare team to consider the patient’s sedation needs, disease status, and pharmacodynamics and pharmacokinetics of the drug to arrive at the best strategy. Although the current research has provided valuable insights and strategies for sedation and off-line management, there are still many problems to be further explored and solved.

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