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- W2048220852 abstract "L'inventaire des médicaments utilisés pour traiter 400 malades admis consécutivement dans un service de réanimation médicale a été prospectivement réalisé. Cent trente et un médicaments ont été utilisés. Les malades ont en moyenne reçu 5±4 médicaments (x̄± sd ) pendant 8±11 jours. Les médicaments les plus fréquemment prescrits ont été : 1) ceux destinés à prévenir certaines complications; 2) les antibiotiques; 3) les médicaments du système nerveux central et de la douleur. Deux tiers des médicaments ont été injectés. Le coût des médicaments a été de 57 F (1984) par malade et par jour. La majorité des dépenses (58,9 %) est imputable aux antibiotiques. La difficulté de définir une liste restreinte de médicaments utilisés en réanimation conduit à substituer un schéma de prescription qui consiste, pour chaque malade, à discuter l'intérêt d'administrer quatre types de médicaments : ceux de la ou des défaillances, ceux du terrain, ceux de la prévention, ceux du confort. The treatments of 400 consecutive patients admitted in a 22-bed adult medical intensive care unit (ICU) were analysed prospectively. One hundred and thirty-one different drugs were prescribed with a mean of 5±4 drugs per patient (x̄± sd ), during 8±11 days. The most commonly prescribed drugs were 1) preventive drugs, 2) antibiotics, 3) psychoactive drugs and analgesics. Two-thirds of the drugs were administered by a parenteral route. Mean daily cost was low : 57 FF per patient (6 3 US dollars, 1984), most of this being due to the prescription of antibiotics (59.8 %). The wide range of drugs prescribed in different ICU precludes the compilation of a restricted list of drugs to be used in ICU. Nevertheless, prescription guidelines are suggested consisting of the discussion, for each patient, of the prescription of any of four types of drugs : those of the organ failure(s), of the underlying disease(s), preventive drugs, and finally comfort drugs." @default.
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- W2048220852 date "1986-01-01" @default.
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- W2048220852 title "Les médicaments utilisés dans un service de réanimation médicale" @default.
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- W2048220852 doi "https://doi.org/10.1016/s0750-7658(86)80036-3" @default.
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