Safety and efficacy of a nurse-driven sedation protocol with daily sedation interruption in the ICU
نویسندگان
چکیده
منابع مشابه
Implementation of a nurse-driven sedation protocol in the ICU.
BACKGROUND Managing anxiety, pain and delirium in critically ill patients is an ongoing challenge. Differences in physician practice, variations of pharmacological agents, as well as concentrations and units can increase the risk of medication error Personal preferences, subjectivity, and nurses' level of expertise are variables when titrating analgesic and sedation infusions. PURPOSE The pur...
متن کاملDaily sedation interruption versus targeted light sedation strategies in ICU patients.
OBJECTIVE The updated clinical practice guidelines for the management of pain, agitation, and delirium recommend either daily sedation interruption or maintaining light levels of sedation as methods to improve outcomes for patients who are sedated in the ICU. We review the evidence supporting both methods and discuss whether one method is preferable or if they should be used concurrently. DAT...
متن کاملVariation in diurnal sedation in mechanically ventilated patients who are managed with a sedation protocol alone or a sedation protocol and daily interruption
BACKGROUND Mechanically ventilated patients may receive more sedation during the night than during the day, potentially delaying extubation. We compared nighttime and daytime benzodiazepine and opioid administration in adult patients enrolled in a multicenter sedation trial comparing protocolized sedation alone or protocolized sedation combined with daily sedation interruption; and we evaluated...
متن کاملDaily 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 کاملSedation protocols versus daily sedation interruption: a systematic review and meta-analysis
Objective: The aim of this study was to systematically review studies that compared a mild target sedation protocol with daily sedation interruption and to perform a meta-analysis with the data presented in these studies. Methods: We searched Medline, Scopus and Web of Science databases to identify randomized clinical trials comparing sedation protocols with daily sedation interruption in cri...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2010
ISSN: 1364-8535
DOI: 10.1186/cc8719