Background/aims Sedation is one of the most important components of intensive care unit (ICU) in patients who are mechanically ventilated at intensive care conditions. As a result of sedation and analgesia in the intensive care unit, the patient is to be awakened a comfortable and easy process. The aim of the study is to demonstrate the effects of day-time sedation interruptions in intensive ca...

INTRODUCTION Hospitals are increasingly forced to consider the economics of technology use. We estimated the incremental cost-consequences of remifentanil-based analgo-sedation (RS) vs. conventional analgesia and sedation (CS) in patients requiring mechanical ventilation (MV) in the intensive care unit (ICU), using a modelling approach. METHODS A Markov model was developed to describe patient...

Background & objective: Patients treated with mechanical ventilation may need sedatives and analgesics due to discomfort, pain, lack of coordination the device, immunity maintenance, oxygenation elevation. The use sedation scoring protocols systems reduces duration hospitalization. Therefore, this study aimed investigate effect controlled based on Richmond model in patients admitted ICU. Me...

A the key innovations of critical care medicine is treatment directed by continuously measured objective physiologic data. A prime example is the dosing of vasopressors using continuous measurements of systemic arterial pressure acquired from an indwelling arterial catheter. Similarly, the settings of mechanical ventilators are based on pressure and volume measurements of airway gases and arter...

BACKGROUND Sedation is used frequently for patients in intensive care units who require mechanical ventilation, but oversedation is one of the main side effects. Different strategies have been proposed to prevent oversedation. The extent to which these strategies have been adopted by intensivists is unknown. METHODS We developed a six-section questionnaire that covered the drugs used, modalit...

BACKGROUND Atrial fibrillation occurs frequently in patients following cardiac surgery and can be a cause of increased morbidity and mortality. The use of dexmedetomidine to prevent atrial fibrillation is unclear. The present study was designed to evaluate the effect of dexmedetomidine sedation on the incidence of atrial fibrillation after cardiac surgery. METHODS Upon arrival to the intensiv...

The intensive care unit is a challenging environment to both patient and caregiver. Continued shortages in staffing, principally in nursing, increase risk to patient and healthcare workers. To evaluate the use of intelligent systems in the improvement of patient care, an agent was developed to regulate ICU patient sedation. A temporal differencing form of reinforcement learning was used to trai...