[Assessment of the value of sedation and mobilization in the therapy concept of mechanically ventilated patients].
Continuous improvements in intubation technology have caused a substantial change in the treatment of intubated patients. Whereas, until a few years ago, patients requiring intubation were sedated and treated by muscular relaxation for technical reasons, today sedation is no longer technically indicated. The patient is sedated so that he may be spared the potentially traumatizing psychic experience of machine ventilation. Recent investigations have shown, however, that the emotional strain to which intubated patients are subjected cannot be specifically attributed to artificial ventilation, but rather that it may occur in any severe physical illness. This strain may be eased by a positive relationship between the patient and the ICU staff. Routine sedation of intubated patients thus seems unnecessary. Nevertheless, there are some indisputable medical and psychological arguments in favour of sedation of intubated patients, including insufficiently stabilized fractures, states of restlessness, tetanus, intentional reduction of oxygen consumption, etc. Among the objectives to be achieved by mobilizing intubated patients are the following: restoration of the patient's autonomy, prevention of impaired consciousness, improved oxygenation. A meaningful performance of mobilization under both medical and psychological aspects is also described.
D005081:Exercise Therapy; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D007384:Intermittent Positive-Pressure Breathing; D012046:Rehabilitation; D012121:Respiration, Artificial; D012122:Ventilators, Mechanical
D006993:Hypnotics and Sedatives
Der Stellenwert von Sedierung und Mobilisation im Therapiekonzept beatmeter Patienten.