Abstract：
PURPOSE:To characterize the perceived utilization of physical restraint (PR) in mechanically ventilated intensive care unit (ICU) patients and to identify clinical and structural factors influencing PR use. METHODS:A questionnaire was personally handed to one intensivist in 130 ICUs in France then collected on-site 2 weeks later. RESULTS:The questionnaire was returned by 121 ICUs (response rate, 93 %), 66 % of which were medical-surgical ICUs. Median patient-to-nurse ratio was 2.8 (2.5-3.0). In 82 % of ICUs, PR is used at least once during mechanical ventilation in more than 50 % of patients. In 65 % of ICUs, PR, when used, is applied for more than 50 % of mechanical ventilation duration. Physical restraint is often used during awakening from sedation and when agitation occurs and is less commonly used in patients receiving deep sedation or neuromuscular blockers or having severe tetraparesis. In 29 % of ICUs, PR is used in more than 50 % of awake, calm and co-operative patients. PR is started without written medical order in more than 50 % of patients in 68 % of ICUs, and removed without written medical order in more than 50 % of patients in 77 % of ICUs. Only 21 % of ICUs have a written local procedure for PR use. CONCLUSIONS:This survey in a country with a relatively high patient-to-nurse ratio shows that PR is frequently used in patients receiving mechanical ventilation, with wide variations according to patient condition. The common absence of medical orders for starting or removing PR indicates that these decisions are mostly made by the nurses.
journal_name
Intensive Care Medjournal_title
Intensive care medicineauthors
De Jonghe B,Constantin JM,Chanques G,Capdevila X,Lefrant JY,Outin H,Mantz J,Group Interfaces Sédation.doi
10.1007/s00134-012-2715-9subject
Has Abstractpub_date
2013-01-01 00:00:00pages
31-7issue
1eissn
0342-4642issn
1432-1238journal_volume
39pub_type
杂志文章abstract：OBJECTIVE:To evaluate the effects of basic life support, time to first defibrillation and emergency medical service arrival time on neurologic outcome and expenses for hospital care in patients after cardiac arrest. SETTING:Large urban emergency medical services system and emergency department in a 2000-bed university...
journal_title：Intensive care medicine
pub_type： 杂志文章
doi：10.1007/s001340101045
更新日期：2001-09-01 00:00:00
abstract：INTRODUCTION:Trials of tight glucose control have compared measures of central tendency, such as average blood glucose, and yielded conflicting results. Other metrics, such as standard deviation, reflect different properties of glucose control and are also associated with changes in outcome. It is possible, therefore, ...
journal_title：Intensive care medicine
pub_type： 杂志文章
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更新日期：2011-03-01 00:00:00
abstract：OBJECTIVE:To compare the effects of patient-initiated, pressure-regulated, volume-controlled ventilation (PRVC) with pressure-preset intermittent mandatory ventilation (IMV) in neonates with respiratory failure. DESIGN:Randomised, prospective study. SETTING:Intensive care unit (14 beds) in a 300-bed paediatric teachi...
journal_title：Intensive care medicine
pub_type： 临床试验,杂志文章,随机对照试验
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abstract：:The effect of plasma exchange (PE) was evaluated in 4 patients with rhabdomyolysis. A single 21 PE produced a transient fall of creatinine phosphokinase and did not prevent renal failure. Theoretically PE would need to be performed very frequently to remove toxins in appropriate amounts. Since renal failure in myoglob...
journal_title：Intensive care medicine
pub_type： 杂志文章
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更新日期：1989-01-01 00:00:00
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journal_title：Intensive care medicine
pub_type： 杂志文章,多中心研究
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更新日期：2016-03-01 00:00:00
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更新日期：2009-03-01 00:00:00
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journal_title：Intensive care medicine
pub_type： 杂志文章
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更新日期：1987-01-01 00:00:00
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journal_title：Intensive care medicine
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更新日期：2006-05-01 00:00:00
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更新日期：2000-05-01 00:00:00
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更新日期：2000-04-01 00:00:00
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更新日期：2011-07-01 00:00:00
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pub_type： 杂志文章,已发布勘误
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pub_type： 杂志文章
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更新日期：2010-11-01 00:00:00
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更新日期：2020-06-01 00:00:00
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journal_title：Intensive care medicine
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更新日期：1986-01-01 00:00:00
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更新日期：2000-10-01 00:00:00
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更新日期：1986-01-01 00:00:00
