Computerized physician order entry of a sedation protocol is not associated with improved sedation practice or outcomes in critically ill patients

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Computerized physician order entry of a sedation protocol is not associated with improved sedation practice or outcomes in critically ill patients

BACKGROUND Computerized Physician Order Entry (CPOE) analgesia-sedation protocols may improve sedation practice and patients' outcomes. We aimed to evaluate the impact of the introduction of CPOE protocol. METHODS This was a prospective, observational cohort study of adult patients receiving mechanical ventilation, requiring intravenous infusion of analgesics and/or sedatives, and expected to...

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Sedation in critically ill patients.

Sedation in the intensive care unit (ICU) is a topic that has been frequently researched, and debate still exists as to what are the best sedative agents for critically ill patients. There is increasing interest in sleep and circadian rhythm disturbances in the ICU and how they may impact on outcomes. In addition to patient-related and ICU environmental factors that likely impact sleep and circ...

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Analgesia and sedation in critically ill patients.

In critically ill patients, adequate analgesia and sedation increase comfort, reduce stress response and facilitate diagnostic and therapeutic procedures. Analgesia and sedation may also have a beneficial impact on morbidity, particularly by reducing pulmonary complications such as atelectasis and pneumonia, and delirium or agitation with subsequent accidental extubation. The method and depth o...

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Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation protocol: a randomized controlled trial.

CONTEXT Protocolized sedation and daily sedation interruption are 2 strategies to minimize sedation and reduce the duration of mechanical ventilation and intensive care unit (ICU) stay. We hypothesized that combining these strategies would augment the benefits. OBJECTIVE To compare protocolized sedation with protocolized sedation plus daily sedation interruption in critically ill patients. ...

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CARING FOR THE CRITICALLY ILL PATIENT ONLINE FIRST Daily Sedation Interruption in Mechanically Ventilated Critically Ill Patients Cared for With a Sedation Protocol A Randomized Controlled Trial

Sangeeta Mehta, MD Lisa Burry, PharmD Deborah Cook, MD Dean Fergusson, PhD Marilyn Steinberg, RN John Granton, MD Margaret Herridge, MD Niall Ferguson, MD John Devlin, PharmD Maged Tanios, MD Peter Dodek, MD Robert Fowler, MD Karen Burns, MD Michael Jacka, MD Kendiss Olafson, MD Yoanna Skrobik, MD Paul Hébert, MD Elham Sabri, MSc Maureen Meade, MD for the SLEAP Investigators and the Canadian Cr...

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ژورنال

عنوان ژورنال: BMC Anesthesiology

سال: 2015

ISSN: 1471-2253

DOI: 10.1186/s12871-015-0161-2