Crit Care Med:在体外膜氧合支持的急性呼吸衰竭儿童中使用镇静管理的研究

2017-06-17 MedSci MedSci原创

近期,一项发表在杂志Crit Care Med上的研究描述了使用体外膜氧合治疗急性呼吸衰竭儿童的镇静治疗。此项研究对来自美国21个PICUs多中心随机镇静试验(随机评估呼吸衰竭的镇静滴定)的前瞻性数据进行了二次分析。受试对象为一千二百五十五名儿童,2周至17岁,患有中度/重度儿科急性呼吸窘迫综合征。此项研究的干预措施为按常规护理处理的镇痛管理或呼吸衰竭方案的镇静滴定的随机评价。在呼吸衰竭的患者中(

近期,一项发表在杂志Crit Care Med上的研究描述了使用体外膜氧合治疗急性呼吸衰竭儿童的镇静治疗。


此项研究对来自美国21个PICUs多中心随机镇静试验(随机评估呼吸衰竭的镇静滴定)的前瞻性数据进行了二次分析。受试对象为一千二百五十五名儿童,2周至17岁,患有中度/重度儿科急性呼吸窘迫综合征。

此项研究的干预措施为按常规护理处理的镇痛管理或呼吸衰竭方案的镇静滴定的随机评价。

在呼吸衰竭的患者中(5%),对使用体外膜氧合支持的中度/重度急性呼吸窘迫综合征的患儿进行了61次镇静滴定的随机评估,包括29次随机评估呼吸衰竭镇静滴定方案。大多数体外膜氧合患者通过体外膜氧合第3天接受神经肌肉阻滞(46%)或严重镇静状态行为量表评分-3/-2(34%)。插管当天,中位阿片样物质和苯二氮卓类剂量分别为0.15 mg/kg/hr(3.7mg/kg/d)和0.11mg/kg/hr(2.8mg/kg/d),分别通过体外膜氧合第3天增加了36%和58%。

41例患者在研究完成前成功拔管,患者在拔管时接受0.40mg/kg/hr阿片样物质(9.7mg/kg/d)和0.39mg/kg/hr的苯二氮卓类药物(9.4mg/kg/d),自插管时分别增加了108%和192%(均P <0.001)。

体外膜氧合患者比没有体外膜氧合支持的中度/重度儿科急性呼吸窘迫综合征患者经历更多的临床显着医源性戒断(p <0.001)。

与根据呼吸衰竭方案镇静滴定随机评估管理的体外膜氧合患者相比,常规护理体外膜氧合患者在研究期间接受更多的阿片样物质(平均累积剂量为183.0 vs 89.8 mg / kg; p = 0.02),超过6.5天更大的暴露天数(p = 0.002),且觉醒或激动无差异。

此项研究表明:在儿童中,体外膜氧合支持的启动与深度镇静、大量镇静剂暴露和医源性戒断综合征频率增加有关。一个标准化的,目标导向的,护士驱动的镇静方案可能有助于缓解这些影响。

原始出处:

Schneider JB, Sweberg T, et al. Sedation Management in Children Supported on Extracorporeal Membrane Oxygenation for Acute Respiratory Failure. Crit Care Med. 2017 Jun 13. doi: 10.1097/CCM.0000000000002540.

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  5. [GetPortalCommentsPageByObjectIdResponse(id=2053241, encodeId=a3f5205324151, content=<a href='/topic/show?id=7c4f96814a4' target=_blank style='color:#2F92EE;'>#镇静管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96814, encryptionId=7c4f96814a4, topicName=镇静管理)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aad0444, createdName=cmsvly, createdTime=Sun Apr 01 00:52:00 CST 2018, time=2018-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1580088, encodeId=4bf3158008800, content=<a href='/topic/show?id=fd6f265e2e5' target=_blank style='color:#2F92EE;'>#体外膜氧合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26572, encryptionId=fd6f265e2e5, topicName=体外膜氧合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ff2e16588842, createdName=ms1292405679162969, createdTime=Mon Jun 19 03:52:00 CST 2017, time=2017-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582517, encodeId=fa30158251e0f, content=<a href='/topic/show?id=d6be52242ec' target=_blank style='color:#2F92EE;'>#急性呼吸衰竭#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52242, encryptionId=d6be52242ec, topicName=急性呼吸衰竭)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=be9016942559, createdName=12498dabm82暂无昵称, createdTime=Mon Jun 19 03:52:00 CST 2017, time=2017-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1607662, encodeId=5096160e662ad, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Mon Jun 19 03:52:00 CST 2017, time=2017-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211949, encodeId=17c4211949fa, content=学习一下知识,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Jun 17 14:02:25 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211948, encodeId=cb3d2119485d, content=一个标准化的,目标导向的,护士驱动的镇静方案可能有助于缓解这些影响。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Sat Jun 17 13:52:04 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211943, encodeId=d35821194379, content=很好,受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/04/7e2c04a7e58b6065a1392efd799c6a6b.jpg, createdBy=de482077642, createdName=王晓霞, createdTime=Sat Jun 17 13:31:52 CST 2017, time=2017-06-17, status=1, ipAttribution=)]
    2017-06-17 flysky120

    学习一下知识,谢谢

    0

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    2017-06-17 榄枷檬

    一个标准化的,目标导向的,护士驱动的镇静方案可能有助于缓解这些影响。

    0

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    2017-06-17 王晓霞

    很好,受益

    0

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