2024年6月29日 · The overarching goal of sedation in the ICU is to render the patient comfortable with a minimal amount of medication exposure and toxicity. This involves continually titrating the medication regimen, with use of the lowest doses possible.

2014年1月30日 · For the majority of patients undergoing mechanical ventilation in an ICU, an appropriate target is a score of 3 to 4 on the Riker Sedation–Agitation Scale (which ranges from 1 to 7, with...

Monitoring Sedation in ICU •Richmond Agitation-Sedation Scale (RASS) •Important to titrate sedatives to objective measure of sedation •Must include goal in sedative order

General principles: try PRN or bolus dosing before drips/continuous infusions, assess needs daily, perform daily sedation interruptions (DSI), use a target sedation as a goal (often RASS). Daily, often nursing-driven protocols, to wean and/or turn off sedation unless contraindicated.

2024年10月22日 · Sedation practices are key to improving intensive care unit (ICU) outcomes. Adequate treatment of pain, minimization of sedation, delirium prevention, and improved patient interaction to ensure...

2024年11月8日 · AN APPROACH TO SEDATION IN ICU. Sedative medications should be titrated to maintain a light rather than a deep level of sedation in adult ICU patients, unless contraindicated; keep patients comfortable and safe using the minimum possible amount of sedation; use protocolised care with sedation score monitoring

Sedation in the intensive care unit (ICU) has changed a lot during the last 20 years. Patients, who were fully sedated and under mechanical ventilation and neuromuscular blockades, are nowadays awake under very low sedation.

All evidence-based international guidelines regarding sedation for mechanically ventilated patients in intensive care are consistent in their recommendations. The US, South American and Iberian, German, and UK guidance all recommend minimal sedation [1 – 4].

2018年8月22日 · The Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU (PADIS guidelines) are an update to the 2013 Pain, Agitation, Delirium Guidelines.

In addition to high validity and reliability, RASS has the advantage of easiness to remember for nurses making it a preferred sedation assessment tool in an adult ICU setting. The level of sedation when in deep was highly associated with mortality and morbidity.