Sleep quality of patients in intensive care unit (ICU) has been recently recognized as an important aspect of the intensive care. Dexmedetomidine is one of the most recently introduced for sedation in the ICU. This study was designed to evaluate the effect of dexmedetomidine on sleep quality of patients without mechanical ventilation in ICU.The patients who were included in this study were divi...

PURPOSE The aim of the study was to characterize the practices of Brazilian ICU physicians toward sedation and delirium. MATERIALS AND METHODS A cross-sectional survey was conducted among a convenience sample of critical care physicians between April and June 2008. RESULTS One thousand fifteen critical care physicians responded. Sedation scoring systems were used by 893 (88.3%) of the respo...

In 1998, Thomas L. Petty expressed his concern about deep sedation and suggested a new link between sedation and severe complications.(1) His phrasing emphasized that it is not the underlying disease, but the physicians themselves that cause the gloomy situation he experienced in his intensive care unit (ICU). As more evidence supporting his theory has emerged, Petty’s editorial seems even more...

Introduction Dexmedetomidine is one of the anesthetics choice for drug induced sleep endoscopy (DISE), with advantages including limited respiratory depression, analgesia, and decreased incidence emergence delirium. However, challenges determining sedation levels prolonged recovery have its usage. An improved understanding effect dexmedetomidine on level corresponding electroencephalographic (E...

The complete spectrum of neuropsychiatric effects SARS-CoV-2 acute respiratory distress syndrome has yet to be fully appreciated, particularly in intubated patients. Manifestations including delirium and catatonia need considered COVID-19 Medications known exhibit neuroprotective effects, like valproate, can assist agitation related sedative withdrawal during extubation. This case series report...

ContextNear the end of life when patients experience refractory symptoms, palliative sedation may be considered as a last treatment. Clinical guidelines have been developed, but they are mainly based on expert opinion or retrospective chart reviews. Therefore, evidence for clinical aspects is needed.ObjectivesTo explore in recent prospective studies.MethodsSystematic review was conducted follow...

BACKGROUND Experience suggests that patients with alcohol and other drug use disorders (AOD) are commonly cared for in our intensive care units (ICU's) and require more sedation. We sought to determine the impact of AOD on sedation requirement and mechanical ventilation (MV) duration. METHODS Retrospective review of randomly selected records of adult patients undergoing MV in the medical ICU....