ICU sedation每天要停一次-- suggested by pharmacist journal

http://www.medscape.com/viewarticle/723143

ICU裏的一切都要protocolized, 每天喚醒一次也是protocolized
RT也是一個一個module
這是一個藥師，提醒在ICU的臨床藥師要 perform DIS(daily interruption of sedatives)
DIS + spontaneous awakening trial + spontaneous breathing trial 可以降低ventilator
dependent days, LOS, mortality?
國外的ICU用sedation and NM blockers比我們用得兇
我不太認為我們有oversedation的問題
當然，什麼都protocolized是很省事的

吼吼，人家的臨床藥師很aggressive 呢!!
我們的呢?


https://docs.google.com/leaf?id=0B278nGJMQBk7MDI2OTFlMzUtZTdlYS00MTExLTk2MjAtMDg0ZmU4ZTIyMzZl&hl=zh_TW

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