BACKGROUND Dexmedetomidine (DEX) is a centrally acting alpha-2-adrenoceptor agonist that has potential in the management of alcohol withdrawal syndrome (AWS) owing to its ability to produce arousable sedation and to inhibit the adrenergic system without respiratory depression. The objective of this randomized controlled study was to evaluate whether addition of DEX to benzodiazepine (BZD) thera...

PURPOSE OF REVIEW Our review focuses on recent developments across many settings regarding the diagnosis, screening and management of delirium, so as to inform these aspects in the context of palliative and supportive care. RECENT FINDINGS Delirium diagnostic criteria have been updated in the long-awaited Diagnostic Statistical Manual of Mental Disorders, fifth edition. Studies suggest that p...

The demographic and epidemiological profile of mortality in Brazil is marked by an increasing number external causes, which generates a financial impact for the Unified Health System due to increase hospital admissions, especially Intensive Care Units. This study aimed analyze factors associated with from causes intensive care unit. cross-sectional survey, based on secondary data, carried out U...

The demographic and epidemiological profile of mortality in Brazil is marked by an increasing number external causes, which generates a financial impact for the Unified Health System due to increase hospital admissions, especially Intensive Care Units. This study aimed analyze factors associated with from causes intensive care unit. cross-sectional survey, based on secondary data, carried out U...

The study purpose was to assess the effects of guided imagery on sedation levels, sedative and analgesic volume consumption, and physiological responses of patients being weaned from mechanical ventilation. Forty-two patients were selected from two community acute care hospitals. One hospital served as the comparison group and provided routine care (no intervention) while the other hospital pro...

OBJECTIVE To establish the prevalence of delirium in a general intensive care unit and to identify associated factors, clinical expression and the influence on outcomes. METHODS This was a prospective cohort study in a medical surgical intensive care unit. The Richmond Agitation-Sedation Scale and Confusion Assessment Method for the Intensive Care Unit were used daily to identify delirium in ...

OBJECTIVE OF THE STUDY to analyze the efficiency and safety of Dexmedetomidine infusion for a short-term controlled sedation and treatment of delirium in the early postoperative period in patients after cardiac surgery. METHODS open, randomized, prospective study of 28 patients undergoing surgery on the heart or main blood vessels under general anaesthesia. In the early postoperative period a...

Background: Scrubbing with toothbrush and gargling chlorhexidine has been shown to be effective in reducing bacteria preventing ventilator-associated pneumonia (VAP) patients the intensive care unit (ICU). However, we still lack established evidencebased practice for oral specific ICUs.Objective: To evaluate effect of two practices different ICUs as measured by previously developed Intensive Ca...

INCREASED SCRUTINY HAS RECENTLY been placed on appropriate titration of sedative and analgesic medications in critically ill patients, especially those being treated with mechanical ventilation. Patient comfort should be a primary goal in the intensive care unit (ICU), including adequate pain control, anxiolysis, and prevention and treatment of delirium. However, achieving an appropriate balanc...

Background: Mechanical ventilation and sedation are inextricably linked components of critical care that represent, what we do for the patients during their vulnerable course in ICU. Aims: The aim of the present study is to evaluate the use of BIS for monitoring sedation in mechanically ventilated ICU patients and correlation of BIS with Sedation Agitation Scale. Settings and Design: Prospectiv...