[PDF] Top 20 Sedation in the intensive care setting

... Providers should recognize that sedative medications are considered part of a multimodal approach to ensuring patient comfort and safety. Important aspects also include providing analgesia, maintenance of a normal ... See full document

... randomized to dexmedetomidine administered as 1 mcg/kg load over 15 minutes followed by 0.2–0.7 mcg/kg/hour or propofol 5–75 mcg/kg/minute. The primary outcome was patient satisfaction using a modified Hewitt ... See full document

... Critical Care fellowship program directors from all of the Canadian academic centers; in academic centres without a Critical Care fellowship program, the Intensive Care Divi- sion Chief was ... See full document

... Samuelson et al. (2008) also report similar levels specific to PTSD in deeply sedated patients compared to lightly sedated patients; however their sample size was too small to give any significance to this finding. They ... See full document

... We reflected the actual resources consumed as fol- lows: if there was no record of the respective events hav- ing commenced already, extubation or the end of MV or ICU discharge or a combination of these was considered ... See full document

... the intensive care discipline has led to implementation of protocols to drive early recovery from the intensive care unit ...Critical Care Medicine, aiming to “ liberate ” patients from ... See full document

... Future studies should compare the effect of different sedative agents on the incidence of ICU-acquired infec- tion. Further, the impact of progressive opioid disconti- nuation on the risk of ICU-acquired infection should ... See full document

... Conclusions: A target‑controlled, MAC‑driven automated application of volatile anesthetics is technically feasible and enables an adequate depth of sedation. Gas consumption was highest for desflurane, which is ... See full document

... micrognathia. Sedation during mechanical ventila- tion was initiated with continuous infusions of fentanyl at 2 µg/kg/h and midazolam at ...extubation, sedation was transitioned from midazolam and fentanyl ... See full document

... is that concentrations of the active metabolite were not measured. Glass et al. [24] observed a decreasing BIS index at higher midazolam serum concentrations. Max- imum midazolam serum concentration was around 800 ng/ml, ... See full document

... The famous PICARD 32 (the program to improve care in acute renal disease) study was conducted in 5 centers as a prospective observational cohort study over 3 years . They found a incidence of 25% - 60%, and ... See full document

... within intensive care units, patient outcomes are improved, better initial antibiotic administration is provided, and the chances of further antibiotic resistance are minimized ... See full document

... deep sedation of ICU patients has significant adverse effects with guidelines advising that unless absolutely necessary it should be ...no sedation versus continuous seda- ... See full document

... Daily sedation interruption is defined as a short-term sus- pension, hold, discontinuation, or cessation of intravenous sedative or in some cases, analgesic medication ...of sedation and/or liberation from ... See full document

... in intensive care ...for sedation in children that receiving ventilatory support in intensive care units that require sedative ... See full document

... The purpose of this study was to identify the patterns of use of sedative agents in pediatric critical care patients.. A questionnaire survey was mailed to 45 directors of Pediatric Crit[r] ... See full document

... written sedation procedure, a cornerstone for the preven- tion of oversedation, is present in only 50% of respondents’ ...written sedation procedure exists, it is used in only a limited number of ...local ... See full document

... Although DSI has many potential advantages (including the opportunity to cease infusions completely or to reduce dosage, perform a comprehensive neurological and delirium assessment, and assess for extubation readi- ... See full document

... Discussion: Sedation in morbidly obese patients should conform to the same broad principles now current in ICU ...continuous sedation should not exceed 6 days, in order to avoid propofol infusion ...the ... See full document

... Ramsay Sedation Scale is in con- trast to the ACCM guidelines [12], which recommend use of the validated assessment scores, such as the Motor Activity Assessment Scale, Riker Sedation-Agitation Scale, and ... See full document