YOĞUN BAKIM ÜNİTESİNDE HEMŞİRE KONTROLLÜ SEDASYON PROTOKOLLERİNİN KULLANIMI

Year 2017, Volume: 21 Issue: 2, 50 - 54, 30.12.2017

Pelin Çelik , Hatice Tel Aydın

Abstract

Sedation is the
suppression of the central nervous system by using sedative drugs. Sedation is
widely used in intensive care units to reduce patient anxiety, agitation and
pain, support patient-ventilator compliance, maintain hemodynamic stability, reduce
intracranial pressure, facilitate patient care during aspiration, invasive
procedures and dressings. Optimal sedation should be a target for all patients
followed up in intensive care unit. Excessive or insufficient sedation leads to
many complications and delay of recovery. It is important to evaluate the
sedation level of patients with a continuous and effective method and to give
the sedation within a protocol in order to prevent complications. Different
sedation strategies are used in intensive care units. Nurse-implemented sedation protocol is one of these strategies. It is stated
that when the nurse-implemented sedation protocols are used, the sedation and
pain control is better provided and the sedative and analgesic doses applied
are decreased. In this article, the application of sedation in intensive care
units, the use of protocol in patients' follow-up and their results in terms of
patients are evaluated and the importance of nursing-implemented sedation
protocols is discussed. 

Keywords

Yoğun bakım, sedasyon, nurse-implemented sedation

YOĞUN BAKIM ÜNİTESİNDE HEMŞİRE KONTROLLÜ SEDASYON PROTOKOLLERİNİN KULLANIMI

Abstract

Sedasyon;  sedatif etkili ilaçlar kullanılarak santral sinir sisteminin baskılanmasıdır. Sedasyon, yoğun bakım ünitelerinde, hastaların anksiyete, ajitasyon ve ağrısını azaltmak, hasta-ventilatör uyumunu desteklemek, hemodinamik stabiliteyi sürdürmek, intrakranial basıncı azaltmak aspirasyon, invaziv girişimler ve pansuman gibi işlemler sırasında hastanın bakımını kolaylaştırmak amacıyla yaygın olarak kullanılmaktadır. Optimal sedasyon, yoğun bakım ünitesinde takip edilen tüm hastalar için bir hedef olmalıdır. Aşırı veya yetersiz sedasyon birçok komplikasyonun oluşmasına ve iyileşmenin gecikmesine neden olmaktadır. Hastaların sedasyon düzeyinin sürekli ve etkili bir yöntemle değerlendirilmesi ve sedasyonun bir protokol dahilinde verilmesi komplikasyonların önlenmesi açısından önemlidir. Yoğun bakım ünitelerinde farklı sedasyon stratejileri kullanılmaktadır. Hemşire kontrollü sedasyon protokolü bu stratejilerden biridir. Hemşire kontrollü sedasyon protokollerinin kullanıldığı durumlarda sedasyon ve ağrı kontrolünün daha iyi sağlandığı ve uygulanan sedatif ve analjezik dozlarının azaldığı belirtilmektedir. Bu makalede, yoğun bakım ünitelerinde sedasyon uygulama şekilleri, hasta takibinde protokol kullanımı ve bunların hasta açısından sonuçları değerlendirilerek, hemşire kontrollü sedasyon protokollerinin uygulamadaki önemi ele alınmıştır.

Keywords

Yoğun bakım, sedasyon

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