Search Tag: sedation
Wake-up-and-breathe-programme-shows-positive-results
2014 11 Dec
According to a new study, waking intensive care unit patients and having them breathe on their own decreased both sedation levels and coma prevalence. The research team from the Regenstrief Institute and the Indiana University Center for Ageing Research also report that the Wake UP and Breathe programme showed a trend toward reduced delirium...Read more
Study-sedation-protocol-does-not-reduce-time-of-respiratory-support
2015 21 Jan
The use of a nurse-implemented, goal-directed sedation protocol compared with usual care did not reduce the duration of mechanical ventilation in children with acute respiratory failure, according to a University of Pennsylvania-led study published in JAMA . Sedation therapy benefits critically ill infants and children; however, it is also associated...Read more
Masimo-s-rainbow-r-acoustic-monitoring-was-associated-with-fewer-alarm-events-in-new-clinical-study
2016 24 Feb
For Breath Rates Less Than or Equal to 4 Breaths Per Minute, RAM Showed 78% True Positives and 22% False Positives, While Capnography Showed 30% True Positives and 70% False Positives Masimo (NASDAQ: MASI) has announced that Masimo's rainbow®Acoustic Monitoring (RAM™) was associated with fewer alarm events during planned moderate sedation in a...Read more
Clonidine-for-sedation-in-the-critically-ill
2017 05 Apr
According to a systematic review and meta-analysis, there is insufficient data to support the routine use of clonidine as a sedative in the mechanically ventilated population. See Also : Towards Safer Ventilation in Critically ill Patients without ARDS Patients who are critically ill and on invasive mechanical ventilation (IMV) often require...Read more
Local-anaesthesia-and-sedation-safe-for-tavr
2017 22 Aug
A new study indicates that 30-day mortality rates as well as the rates of procedure related complications were similar in transcatheter aortic valve replacement (TAVR) procedures performed with or without the presence of an anaesthesiologist in the catheterisation laboratory. The findings are reported in the International Journal of Cardiology....Read more
Study-icu-delirium-a-distinct-indicator-of-acute-brain-injury
2018 27 Feb
More than half of ICU patients in a newly published study experienced delirium for long periods during their stay. Sedative-associated delirium was most common, while longer periods of hypoxic delirium and unclassified delirium were associated with worse cognitive function at follow-up one year after hospital discharge. The researchers write that...Read more
Icu-delirium-a-distinct-indicator-of-acute-brain-injury
2018 16 Mar
More than half of ICU patients in a new study experienced delirium for long periods during their stay. Sedative-associated delirium was most common, while longer periods of hypoxic delirium and unclassified delirium were associated with worse cognitive function at follow-up one year after hospital discharge. You might also like : Sedative prevents...Read more
What-a-difference-a-drug-makes
2019 24 Jan
Asking why the patient needs to be sedated is as important as the choice of drug for sedation. Why use sedation? Intensivists should ask why they use sedation every time they order it. Sedation is used to reduce the burden and stress of critical illness. Sedative agents mixed with analgesic agents reduce pain and keep the patient calm,...Read more
Good-past-better-future
2019 24 Jan
From massive sedation in the past, through current sedation practice relying on cooperation between patients and care providers, the future may further improve sedation in the ICU. The concepts for good sedation include defining the range of sedation, the need for agents with rapid response that can be easily and rapidly varied in restless...Read more
Sedation-practices-in-the-icu
2019 24 Jan
Report of a symposium presented at LIVES 2018: 31st congress of the European Society of Intensive Care Medicine, Paris, France Chairs: Michael Sander, Germany & Jean-Daniel Chiche, France Knowledge and practice in sedation and analgesia in the ICU have advanced greatly in recent years. The risks of delirium and of over-sedation...Read more
42nd-annual-uc-davis-emergency-medicine-winter-conference-2019
2019 04 Mar
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Future-of-ultrasound-ed-gamification-vr
2019 13 Feb
Executive Summary Prof. Paul Sidhu , President of the European Federation of Societies for Ultrasound in Medicine and Biology ( EFSUMB ), shares with Healthmanagement.org a preview of his presentations at the forthcoming ECR 2019 . The use of ultrasound simulation models as tools in training and education is among the important...Read more
How-to-manage-sedation-analgesia-for-patient-centred-care-in-the-icu
2019 14 Mar
Managing sedation analgesia for patient-centred care in the ICU Pain management and sedation are closely linked in the intensive care unit. In the past, clinicians were using sedative agents too liberally, often with benzodiazepines. And several issues were observed in the ICU, including the problems of delirium, weakness and prolonged ICU...Read more
Sedation-and-analgesia
2019 14 Mar
How to manage sedation analgesia for patient-centred care in the ICU. In the concept of patient-centered care, sedation and analgesia have high importance. Intensive care is sometimes invasive and very painful. Patients in the ICU are seriously ill and often suffer from anxiety, agitation, and pain. There is sometimes a need to use deep and...Read more
Sedation-in-icu-patients-need-for-standardised-protocols
2019 23 Apr
A Johns Hopkins-led study on sedation practices in critically ill patients in a resource-limited setting finds that deep sedation, agitation, and benzodiazepines were independently associated with worse clinical outcomes. The study's main objective was to determine the relationship between sedation status and 90-day mortality. Study results...Read more
Picu-acquired-complications-the-new-marker-of-the-quality-of-care
2019 30 May
This article describes the rise in PICU-acquired morbidities and its impact on patient outcomes. It discusses early rehabilitation strategies to improve patient outcomes in PICU. Introduction Critical care has traditionally been focused on early recognition of life-threatening conditions, resuscitation, and stabilisation of organ...Read more
Use-of-sedation-and-controlled-paralysis-in-icu-patients-with-ards
2019 30 May
According to a National Institutes of Health sponsored clinical trial that was conducted at several North American hospitals and was led by clinician-scientists at the University of Pittsburgh and University of Colorado schools of medicine, reversibly paralysing and sedating hospitalised patients with severe breathing problems does not prove improve...Read more
Lives2019-findings-from-the-nonseda-study
2019 01 Oct
Palle Toft of Odense University Hospital presented the findings of the “No sedation compared to sedation with a daily wake-up trial. A prospective randomized multicentre study - The NONSEDA-study” @ESICM in Berlin. The NON-SEDA study is a Scandinavian multicentre study conducted in Denmark, Norway, and Sweden that compared non-sedation with light...Read more
The-future-icu
2020 15 Jan
Critical Care Medicine has existed for many years, but was only recognised as a specialty in the last 40 years or so. However, during this time, there has been a tremendous amount of change. Over the years, our understanding of different critical illnesses has improved, and our treatment strategies have become more effective. Technology has also played...Read more
Future-strategies-in-sedation-and-analgesia
2020 15 Jan
From massive sedation in the past, through current patient-centred sedation protocols, the future may further improve sedation in the ICU. Introduction The concepts for an optimal sedation in the intensive care unit (ICU) should include: Definition of the optimal depth of sedation; The need for agents with on/off effects; The...Read more
Icu-management-practice-2019-subject-index
2020 15 Jan
Subject Index for Volume 19, issues 1-4, 2019. Issue Pages Link Issue 1 1-64 https://iii.hm/10cv Issue 2 65-128 https://iii.hm/10cw Issue 3 129-192 https://iii.hm/10cx Issue 4 193-256 https://iii.hm/10cy Acute Respiratory Distress Syndrome Use of sedation...Read more
Use-of-opioids-after-intensive-care
2021 01 Feb
A study was conducted to evaluate opioid use in the ICU and identify factors associated with chronic opioid use after critical care. It also aimed to determine if chronic opioid use was associated with an increased risk of death. Over the last few years, opioid misuse has become a major public health issue in many countries. Pharmaceutical companies...Read more
Why-do-we-need-sedation-in-critically-ill-covid-19-patients
2021 22 Feb
C OVID-19 patients present to the hospital with lung involvement and interstitial pneumonia eventually associated with lung collapse. The clinical picture is dominated by severe hypoxaemia without dyspnoea/tachypneoa and normal respiratory mechanics; this condition has been defined as silent hypoxia. The picture may evolve, and these patients may...Read more
How-should-we-manage-sedation-in-critically-ill-covid-19-patients
2021 22 Feb
Clinical Practice Guidelines The Choosing Wisely top five guidelines published a few years ago by the Chest Association of Physicians, the American Thoracic Society, the Society of Critical Care Medicine, and the American Association of Critical Care Nurses state that mechanically ventilated patients should not be deeply sedated without a specific...Read more
Important-questions-answered
2021 22 Feb
During the question/answer session, Prof Vito Marco Ranieri discussed some important questions with Prof Salvatore Maurizio Maggiore and Prof Boris Jung regarding sedation regimen, respiratory muscle paralysis, sedation in COVID-19 patients specifically and how it is different from other regular ICU patients. Ranieri: What is your opinion...Read more
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