Resume
Si l’utilisation des hypnotiques et des opiacés chez le patient de réanimation peut entraîner des complications directement liées à la classe médicamenteuse utilisée, un nombre croissant de complications se révèle lié à un mode d’utilisation suboptimal, favorisant une sédation excessive et inutilement prolongée. Ces complications retentissent directement sur la durée de la VM en retardant l’éveil et le sevrage ventilatoire. Il est très probable qu’elles affectent aussi la récupération physique et psychologique du patient à distance de sa sortie de réanimation. La prévention de ces complications passe nécessairement par la mise en place de procédures de soins simples impliquant la totalité de l’équipe médicale et infirmière.
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De Jonghe, B., Outin, H., Mantz, J. (2010). Complications de la sédation. In: Analgésie et sédation en réanimation. Le point sur .... Springer, Paris. https://doi.org/10.1007/978-2-287-99029-8_9
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