The implementation of an analgesia-based sedation protocol reduced deep sedation and proved to be safe and feasible in patients on mechanical ventilation

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The implementation of an analgesia-based sedation protocol reduced deep sedation and proved to be safe and feasible in patients on mechanical ventilation

INTRODUCTION Deep sedation in critically ill patients is associated with a longer duration of mechanical ventilation and a prolonged length of stay in the intensive care unit. Several protocols have been used to improve these outcomes. We implement and evaluate an analgesia-based, goal-directed, nurse-driven sedation protocol used to treat critically ill patients who receive mechanical ventilat...

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effects of nurses’ practice of a sedation protocol on sedation and consciousness levels of patients on mechanical ventilation

background: providing high-quality care in the intensive care units (icus) is a major goal of every medical system. nurses play a crucial role in achieving this goal. one of the most important responsibilities of nurses is sedation and pain control of patients. the present study tried to assess the effect of nurses’ practice of a sedation protocol on sedation and consciousness levels and the do...

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[Sedation and analgesia in children submitted to mechanical ventilation could be overestimated?].

OBJECTIVE To describe the pattern of analgesic and sedative infusions in children submitted to mechanical ventilation in a regional pediatric intensive care unit during a 12-month period. To compare the use of these drugs among clinical and surgical patients, as well evaluate the influence of the length of use on the average daily doses and on the incidence of abstinence syndrome. METHODS Thi...

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Sedation in Patients Receiving Mechanical Ventilation

Background Daily interruption of continuous infusion of sedatives has improved outcomes in patients receiving mechanical ventilation in open-label studies. Objectives To assess the feasibility of a protocol for a doubleblind, randomized, controlled trial study on the impact of routine daily interruption of sedation in patients receiving mechanical ventilation. Methods A total of 50 patients rec...

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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. ...

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ژورنال

عنوان ژورنال: Revista Brasileira de Terapia Intensiva

سال: 2013

ISSN: 0103-507X

DOI: 10.5935/0103-507x.20130034