Pupillary reflex measurement predict insufficient analgesia before endotracheal suctioning in critically ill patients
نویسندگان
چکیده
Pupillary reflex measurement predict insufficient analgesia before endotracheal suctioning in critically ill patients Critical Care 2013, 17:R161 doi:10.1186/cc12840 Jerome Paulus ([email protected]) Antoine Roquilly ([email protected]) Hélène Beloeil ([email protected]) Julien Théraud ([email protected]) Karim Asehnoune ([email protected]) Corinne Lejus ([email protected])
منابع مشابه
Pupillary reflex measurement predicts insufficient analgesia before endotracheal suctioning in critically ill patients
INTRODUCTION This study aimed to evaluate the pupillary dilatation reflex (PDR) during a tetanic stimulation to predict insufficient analgesia before nociceptive stimulation in the intensive care unit (ICU). METHODS In this prospective non-interventional study in a surgical ICU of a university hospital, PDR was assessed during tetanic stimulation (of 10, 20 or 40 mA) immediately before 40 end...
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Background & Aim: Endotracheal suctioning (ETS) is a common invasive nursing procedure. Hemodynamic parameters changes during and after the procedure. If appropriate strategies do not be applied during the ETS, hemodynamic changes can be significant and life threatening in critically ill patients. The purpose of this study was to assess the effect of education of endotracheal suctioning on pati...
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Background & Aim : Endotracheal suctioning is one of the most frequently used methods for airway clearance in patients under mechanical ventilation. Chest physiotherapy techniques such as expiratory rib cage compression before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretions and improving alveolar ventilation. This study was carried out to...
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INTRODUCTION Sedative and analgesic drugs are frequently used in critically ill patients. Their overuse may prolong mechanical ventilation and length of stay in the intensive care unit. Guidelines recommend use of sedation protocols that include sedation scores and trials of sedation cessation to minimize drug use. We evaluated processed electroencephalography (response and state entropy and bi...
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