重症监护医学会 (SCCM) 的 ICU Liberation Bundle (ABCDEF集束化护理措施) 是独一无二的,因为它可以由整个团队每天应用于每位患者。 集束化措施的实施不必马上就完美。微小的改变会产生很大的不同。通过改善患者的整体治疗方法和改善 ICU 团队沟通,ICU ...
为了减少这些不良状态的发生,在国外,早在20余年前发起了 “解放 ICU 运动”,即基于循证医学证据开展ABCDEF集束化管理,力求优化疼痛管理、优化镇静、减少谵妄、缩短机械通气时间、减少ICU-AW以及促进ICU家属参与照护。 近来,在优化ICU未来的环境和实践模式的探索中,增加了人文关怀方面,即将 A-F(ABCDEF)拓展到A-I(...
通过改善患者的整体治疗方法和改善 ICU 团队沟通,ICU Liberation Bundle 已在涉及 20,000 多名患者的多项研究中得到证明:将 7 天内住院死亡的可能性降低 68%将谵妄和昏迷天数减少 25%-50%将身体约束的使用减少 60% 以上将 ICU 再入院人数减半将护理院和康复医疗机构的出院人数减少40%(杨磊翻译整理) 参考文献原...
[10]Pun BT,Balas MC,Barnes Daly MA,et al.Caring for Critically IllPatients with the ABCDEF Bundle:Results of the ICU Liberation Collaborative inOver 15000 Adults[J].Crit Care Med,2019,47(01):3-14. [11]Barnes Daly MA,Phillips G,Ely EW....
[3]Ely EW. The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families. Crit Care Med. 2017 Feb;45(2):321-330. doi: 10.1097/CCM.0000000000002175. PMID: 28098628; PMCID: PMC5830123. [4]Thompson DR, Hamilton DK, Cadenhead CD, et al. Guidelines for inten...
EW. The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families. Crit Care Med. 2017 Feb;45(2):321-330. doi: 10.1097/CCM.0000000000002175. PMID: 28098628; PMCID: PMC5830123. [4]Thompson DR, Hamilton DK, Cadenhead CD, et al. Guidelines for intensive care...
The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families.Crit Care Med. 2017 Feb;45(2):321-330. Bringing the ABCDEF Bundle to Life and Saving Lives Through the Process.Crit Care Med. 2017 Feb;45(2):363-365. ...
[3]Ely EW. The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families. Crit Care Med. 2017 Feb;45(2):321-330. doi: 10.1097/CCM.0000000000002175. PMID: 28098628; PMCID: PMC5830123. [4]Thompson DR, Hamilton DK, Cadenhead CD, et al. Guidelines for inten...
[3]Ely EW. The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families. Crit Care Med. 2017 Feb;45(2):321-330. doi: 10.1097/CCM.0000000000002175. PMID: 28098628; PMCID: PMC5830123. [4]Thompson DR, Hamilton DK, Cadenhead CD, et al. Guidelines for inten...
ICUliberation:pain,agitation,anddeliriumguidelinesandtheconceptoftheABCDEFbundle。重症监护病房成人患者疼痛、躁动和谵妄管理的临床实践指南（ICUPAD)与ABCDEF集束化策略的概念。2ABCDEF Assess,Prevent,andManagePain 评估、预防和处理疼痛 疼痛是一种常见的，通常是每天发生的临床症状，接近50%的ICU患者经历疼痛。但是...