Protocol-directed sedation versus non-protocol-directed sedation in mechanically ventilated intensive care adults and children
نویسندگان
چکیده
منابع مشابه
Protocol-directed sedation versus non-protocol-directed sedation to reduce duration of mechanical ventilation in mechanically ventilated intensive care patients.
BACKGROUND The sedation needs of critically ill patients have been recognized as a core component of critical care and meeting these is vital to assist recovery and ensure humane treatment. There is growing evidence to suggest that sedation requirements are not always optimally managed. Sub-optimal sedation incorporates both under- and over-sedation and has been linked to both short-term (e.g. ...
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 کاملSedation of mechanically ventilated adults in intensive care unit: a network meta-analysis
Sedatives are commonly used for mechanically ventilated patients in intensive care units (ICU). However, a variety of sedatives are available and their efficacy and safety have been compared in numerous trials with inconsistent results. To resolve uncertainties regarding usefulness of these sedatives, we performed a systematic review and network meta-analysis. Randomized controlled trials compa...
متن کاملAlpha-2 agonists for sedation in mechanically ventilated neurocritical care patients: a systematic review protocol
BACKGROUND Sedation is an important consideration in the care of the neurocritically ill patient. It provides anxiety and relief, facilitates procedures and nursing tasks, and minimizes intolerance of mechanical ventilation. Alpha-2 agonists such as dexmedetomidine and clonidine have been shown to be an effective alternative in the general critical care population by reducing duration of mechan...
متن کاملValidation of sedation scores in mechanically ventilated children admitted to a tertiary pediatric intensive care unit.
OBJECTIVES Sedation scores are important tools for use in pediatric intensive care units. The Comfort-Behavior scale is a valid method for the assessment of children although it is considered an extensive scale. The motor activity assessment scale is validated for an adult population. We considered it simpler then the one above and suitable for application in children. None of these scores had ...
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ژورنال
عنوان ژورنال: Cochrane Database of Systematic Reviews
سال: 2018
ISSN: 1465-1858
DOI: 10.1002/14651858.cd009771.pub3