Effect of Predictive Nursing Combined with Dexmedetomidine on Sedation in Patients with Mechanical Ventilation after ICU

  • Dianrong Wang
Keywords: Predictive care; Mechanical ventilation; Dexmedetomidine; Fentanyl; Midazolam

Abstract

This article explores the effects of predictive nursing combined with dexmedetomidine in the treatment of sedation in patients with mechanical ventilation after ICU. Sixty-five patients with mechanical ventilation after ICU were selected as subjects and randomized. Group A was sedated with dexmedetomidine combined with fentanyl, and group B was sedated with midazolam combined with fentanyl. The results showed that there was no statistically significant difference between the doses of sedatives in group A and group B and the time of sedation. The recovery time of group A was shorter than that of group B, and the difference was statistically significant. There were no significant differences in SAS scores between group A and group B before surgery, 12 hours after surgery, and 24 hours after surgery. There were 3 adverse reactions in group A, and the incidence of adverse reactions was 8%. In group B, 5 adverse reactions occurred, and the incidence of adverse reactions was 17%. The combination of medetomidine and midazolam combined with fentanyl is effective in sedation in patients with mechanical ventilation after ICU, and it is safe, but dexmedetomidine is more conducive to the recovery of patients. Analyze and improve the rationality of medication.

Published
2020-03-01