Analgesia for the critically ill patient

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Analgesia and sedation in critically ill children.

Effective analgesia and sedation for critically ill children involve caring for both their physical and psychological comfort. All critically ill children in a paediatric intensive care unit (PICU) have the right to adequate pain relief. Any correctable environmental and physical factors causing discomfort should be addressed before the introduction of pharmacological agents: a normal pattern o...

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Analgesia and sedation in critically ill patients.

In critically ill patients, adequate analgesia and sedation increase comfort, reduce stress response and facilitate diagnostic and therapeutic procedures. Analgesia and sedation may also have a beneficial impact on morbidity, particularly by reducing pulmonary complications such as atelectasis and pneumonia, and delirium or agitation with subsequent accidental extubation. The method and depth o...

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Caring for the Critically Ill Patient

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Caring for the Critically Ill Patient

EARLY ACUTE LUNG INJURY (ALI) IS characterizedbyneutrophiliclung inflammation,permeability,and intravascular and alveolar fibrin deposition. The proinflammatory and prothrombotic fatty acid eicosanoid derivatives of cyclooxygenase (eg, thromboxaneA2)and5-lipoxygenase(eg,leukotrieneB4)enzymesaremediatorsof these processes. The type and inflammatory activity of eicosanoids liberated during inflam...

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Sedation and analgesia in critically ill children.

The interplay of pain, discomfort, and fear can cause agitation in critically ill children. Therefore, sedation and analgesia are essential components in the intensive care unit setting and are best managed with a multidisciplinary team approach. No one standard approach exists to assess and manage pain and anxiety. Many tools are available for the assessment of pain and sedation, but each tool...

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ژورنال

عنوان ژورنال: University of Western Ontario Medical Journal

سال: 2018

ISSN: 2560-8274,0042-0336

DOI: 10.5206/uwomj.v87i1.1886