The analgesia and sedation in patients with polytrauma on clinic of anaesthesic and intensive care medicine in University hospital in Plzeň

Czech version

Authors: J. Lejčko; I. Chytra; E. Kasal; R. Kovařík; J. Vidunová; S. Machart; P. Chlebo
Authors‘ workplace: ARK FN v Plzni, přednosta MUDr. E. Kasal, CSc.
Published in: Anest. intenziv. Med., , 1999, č. 6, s. 257-260
Category:

Overview

The overview of analgosedation regimens used presently in the authors department is presented. The basic aspects of current opinion on this partof intensive care with possible risks and hazards are analysed. The ideal sedation regimen does not exist and it is important to emphasise that optimumdosage must be tailored to the individual’s response. Role of nurse is essential, especially in the time of weaning from analgosedation and mechanicalventilation. Very often problem in ICU is withdrawal syndrome. Weaning strategy is demonstrated. Cost effectiveness is one of the important factorsobserved in the field of intensive care at present. As well for that reason is morphin still used by intensivists.

Key words:
analgosedation – withdrawal syndrome – cost effectiveness

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