Daily Sedation Interruption in Mechanically Ventilated Critically Ill Patients Cared for With a Sedation Protocol
نویسندگان
چکیده
منابع مشابه
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. ...
متن کاملCARING 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...
متن کاملDaily sedative interruption versus intermittent sedation in mechanically ventilated critically ill patients: a randomized trial
BACKGROUND Daily sedative interruption and intermittent sedation are effective in abbreviating the time on mechanical ventilation. Whether one is superior to the other has not yet been determined. Our aim was to compare daily interruption and intermittent sedation during the mechanical ventilation period in a low nurse staffing ICU. METHODS Adult patients expected to need mechanical ventilati...
متن کاملNarcotic-based sedation regimens for critically ill mechanically ventilated patients
Sedatives and analgesics are routinely used in the intensive care unit to relieve pain and anxiety. These agents have numerous side effects and may contribute to poor outcomes such as increased length of mechanical ventilation, longer ICU stays and acute and long-term cognitive dysfunction. Modifying sedation paradigms utilizing either narcotic-based regimens with remifentanil or fentanyl, or b...
متن کاملEarly goal-directed sedation versus standard sedation in mechanically ventilated critically ill patients: a pilot study*.
OBJECTIVE To assess the feasibility and safety of delivering early goal-directed sedation compared with standard sedation. DESIGN Pilot prospective, multicenter, randomized, controlled trial. SETTING Six ICUs. PATIENTS Critically ill adults mechanically ventilated for greater than 24 hours. INTERVENTIONS Patients randomized to early goal-directed sedation received a dexmedetomidine-base...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: JAMA
سال: 2012
ISSN: 0098-7484
DOI: 10.1001/jama.2012.13872