Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Liberation and animation for ventilated ICU patients: the ABCDE bundle for the back-end of critical care. | Pandharipande et al. Critical Care 2010 14 157 http content 14 3 157 CRITICAL CARE COMMENTARY L__ Liberation and animation for ventilated ICU patients the ABCDE bundle for the back-end of critical care Pratik Pandharipande - 2 Arna Banerjee2 Stuart McGrane2 and E Wesley Ely3 See related research by Jackson etal. http content 4 2 R59 Abstract Critically ill patients are frequently prescribed sedatives and analgesics to ensure patient safety to relieve pain and anxiety to reduce stress and oxygen consumption and to prevent patient ventilator dysynchrony. Recent studies have revealed that these medications themselves contribute to worsening clinical outcomes. An evidence-based organizational approach referred to as the ABCDE bundle Awakening and Breathing Coordination of daily sedation and ventilator removal trials Choice of sedative or analgesic exposure Delirium monitoring and management and Early mobility and Exercise is presented in this commentary. In the previous issue of Critical Care Jackson and colleagues performed a systematic literature review with the goal of evaluating the impact of sedation practices on the safety and economic outcomes in intensive care unit ICU patients 1 . Heterogeneity of the different patient populations studied and variations in methodology prevented the authors from conducting a formal quantitative data synthesis and analysis hence their article is primarily a collation of published studies. The authors conclude that the past decade has seen much focus on sedation practices during critical illness and that a systematic approach to sedation and analgesia improves patient outcomes. Using the review as a springboard for our commentary we would like to focus the reader towards an evidence-based paradigm for improving the quality of care and clinical outcomes of ventilated patients. Correspondence Anesthesiology Service VA TN Valley Health Care System 3 0 24th Ave .
