Spontaneous Breathing Trials in Patients Managed with a Sedation Protocol or a Sedation Protocol with Daily Interruption
نویسندگان
چکیده
منابع مشابه
Variation 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 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 interruption of sedation in critically ill children: study protocol for a randomized controlled trial
BACKGROUND In adult patients who are critically ill and mechanically ventilated, daily interruption of sedation (DSI) is an effective method of improving sedation management, resulting in a decrease of the duration of mechanical ventilation, the length of stay in the intensive care unit (ICU) and the length of stay in the hospital. It is a safe and effective approach and is common practice in a...
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...
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ژورنال
عنوان ژورنال: Anaesthesia & Critical Care Medicine Journal
سال: 2016
ISSN: 2577-4301
DOI: 10.23880/accmj-16000111