Transcription of ICU における睡眠障害およびせん妄に対する予防的介入の効 …
1 1 ICU 2 ICU ICU (Salluh JI, et al, 2015) ICU (Freedman NS, et al. 2001) ICU (Weinhouse GL, et al. 2009) ICU 72 ICU 20 20 1 CAM-ICU ICU ( )
2 72 ICU ICU 3 ICU RASS-4 RASS-4 2 1 1 2 8 CAM-ICU 24 1 1 15mg 20mg APACHE2 stage ) RASS CAM-ICU ICU 28 (VAS) 4 Richmond Agitation-Sedation Scale(RASS) confusion assessment Method for the ICU(CAM-ICU)
3 RASS CAM-ICU CAM-ICU ICU ( 94% 89%) (Wei LA, et al, 2008) ICU 1 3 SedLine ( SCAN, PARAMOUNT BED) (ALICE6 LDX, Phillips Respironics GK) stage SedLine(SedLine, Mashimo) SedLine 24 SedLine SedLine SedLine ( )
4 28 ICU 28 160 IRB 2020 3 330-8503 1-847 Tel 048-647-2111 Fax 048-648-5195 2016 9 10 1 2017 1 26 5 (1) ICU (2) (1) (2) (3) (1) ICU ICU ICU (2) ICU (1) (2) ICU 72 ICU ( ) ICU Richmond Agitation-Sedation Scale(RASS) confusion assessment Method for the ICU(CAM-ICU)
5 RASS CAM-ICU CAM-ICU ICU ( 94% 89%) (Wei LA, et al, 2008) ICU 1 3 SedLine ( SCAN, PARAMOUNT BED) (ALICE6 LDX, Phillips Respironics GK) stage SedLine(SedLine, Mashimo, 5) SedLine 24 6 SedLine (3)
6 RASS-4 RASS-4 2 ( ) ( ) 1 1 8 CAM-ICU 24 1 1 15mg 20mg (4) APACHE2 stage ) 7 RASS CAM-ICU ICU 28 (VAS) (5)
7 (6) EZR ICU t 28 ( ) 28 ICU 28 (7) 160 IRB 32 3 31 8 IRB IRB IRB 72 ICU 20 20 1 CAM-ICU ICU ICU ICU (Salluh JI, et al, 2015) ICU (Freedman NS, et al.)
8 2001) ICU (Weinhouse GL, et al. 2009) 8 2 2015 (Hshieh T, et al. 2015 Martinez F, et al. 2015) ICU ICU The Cochrane Collaboration 2015 ICU 30 1569 ICU (Hu RF, et al. 2015) ICU ICU 2013 ( ) ( ) 13 RCT(1551 ) (Barr J, et al.
9 2013) REM Kondili E, et al. 2012 1996 RCT [ vs 32% vs 3%, P= (Hatta K, et al. 2014) 20% vs , P= (Artemiou P, et al. 2015 ] 2008 ( [95 CI, ]; p , Masuyama T, et al. 2016) 72 ICU (1) (2)
10 20 9 ID USB (1) (2) (3) (4) 10 (1) (2)
