维普中文期刊产品整合服务

Effect of sedative agent selection on morbidity, mortality and length of stay in patients with increase in intracranial pressure

查看全文 作　　者：Brian [1]G.Cornelius;Elizabeth [2]Webb;Angela [2]Cornelius;Kenneth [3]W.G.Smith;Srdan [3]Ristic;Jay [3]Jain;Urska [3]Cvek;Marjan [3]Trutschl 高影响力作者 机构地区：[1]Department of Anesthesia, University Health-Shreveport;[2]Department of Emergency Medicine, Louisiana State University Health Sciences Center;[3]Laboratory for Advanced Biomedical Informatics, Department of Computer Science, Louisiana State University Shreveport高影响力机构 出　　处：《World Journal of Emergency Medicine》索引2018年第9卷第4期,共6页高影响力期刊 摘　　要：BACKGROUND: To identify the effects of sedative agent selection on morbidity, mortality, and length of stay in patients with suspected increase in intracranial pressure. Recent trends and developments have resulted in changes to medications that were previously utilized as pharmacological adjuncts in the sedation and intubation of patients with suspected increases in intracranial pressure. Medications that were previously considered contraindicated are now being used with increasing regularity without demonstrated safety and effectiveness. The primary objective of this study is to evaluate and compare the use of Ketamine as an induction agent for patients with increased intracranial pressure. The secondary objective was to evaluate and compare the use of Etomidate, Midazolam, and Ketamine in patients with increased intracranial pressure. METHODS: We conducted a retrospective chart review of patients transported to our facility with evidence of intracranial hypertension that were intubated before trauma center arrival. Patients were identifi ed during a 22-month period from January 2014 to October 2015. Goals were to evaluate the impact of sedative agent selection on morbidity, mortality, and length of stay.RESULTS: During the review 148 patients were identifi ed as meeting inclusion criteria, 52 were excluded due to incomplete data. Of those the patients primarily received; Etomidate, Ketamine, and Midazolam. Patients in the Ketamine group were found to have a lower mortality rate after injury stratifi cation. CONCLUSION: Patients with intracranial hypertension should not be excluded from receiving Ketamine during intubation out of concern for worsening outcomes. 关 键 词：小学 英语 课外阅读 阅读材料
相关文献

参考文献(24)

引证文献(4)

耦合文献(1)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费