Search Tag: sedation

ICU Management

New Paradigm of Personalised Sedation

2022 20 Oct

Lung-protective ventilation (LPV) limits lung injury (VILI). However, deep sedation is required to tolerate LPV, and patient self-induced lung injury (P-SILI) can occur during spontaneous breathing along with high respiratory efforts, lung stress and strain. Prevention of P-SILI may require further sedation. In addition, patient-ventilator dyssynchrony... Read more

ICU Management

Early Deep Sedation in Mechanically Ventilated COVID-19 Patients

2022 20 Jun

Sedation management is a critical component when managing mechanically ventilated patients. It is important to use a protocol-driven approach, which favours paired spontaneous awakening (SAT) and breathing (SBT) trials, along with light levels of sedation. The initial period of respiratory failure in the emergency department and the first 48 hours... Read more

ICU Management

Analgesia, Sedation and Neuromuscular Blockade in Critically Ill Patients

2022 25 May

A Practical Approach for Intensivists A practical approach to analgesia, sedation and neuromuscular blockade of critically ill patients and a discussion on potential benefits, adverse effects and current professional international recommendations. Introduction Patients hospitalised in the Intensive Care Unit (ICU) are naturally prone to... Read more

ICU Management

Sedation, Analgesia and Respiratory Drive in Mechanically Ventilated Adults

2022 25 May

An overview of the cardiovascular and respiratory effects of sedative agents commonly used in the ICU, emerging concepts of mechanical ventilation induced injury to the respiratory muscles and evolving concepts for sedation monitoring and sedation minimisation to achieve the goal of expeditious liberation from mechanical ventilation. The... Read more

ICU Management

Findings from the SAMDS-ICU Survey

2022 08 Feb

Pain is one of the most distressful symptoms among critically ill patients, along with shortness of breath and delirium. Pain is reported by 38 to 51% of patients at risk of dying. Delirium is highly prevalent among patients who are critically ill and is associated with worse short-term and long-term outcomes, including in-hospital mortality, longer... Read more

ICU Management

Introducing Inhaled Sedation in intensive care

2021 09 Nov

Moderator Alexander Kersten Read more

ICU Management

12 Things to Do to Improve Wellbeing in the ICU

2021 19 Apr

An overview of strategies and measures that can be implemented to improve wellbeing of staff and patients in the ICU. 1. Make the patient the centre of our preoccupations This is the first principle of wellbeing in the ICU and should be written in large letters when one enters an ICU. Wellbeing must concern first and foremost the patient.... Read more

ICU Management

Opioid Use After ICU Admission

2021 09 Mar

The misuse of opioids is a major public health issue in many countries. Excessive use of opioids in the U.S. in particular, is primarily driven by pharmaceutical companies promoting the liberal use of opioids. Also, the American Pain Society describes pain as the fifth vital sign, which has resulted in a generous prescribing and widespread misuse of... Read more

ICU Management

Volume 21 - Issue 1, 2021

2021 24 Feb

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ICU Management

20 Lessons from 2020

2021 22 Feb

The COVID-19 pandemic has had a significant impact on ICUs and critical care healthcare providers all across the globe. As of this week, 110 million people have been infected with the virus worldwide, and 2.4 million have died. Many of the infected patients need hospitalisation and admission to the ICU. A high percentage of severely ill patients with... Read more