Search Tag: sedation
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
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
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
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
Sedation in Critically-Ill COVID-19 Patients
2021 22 Feb
Report of a Symposium Presented at LIVES 2020 33rd Congress of the European Society of Intensive Care Medicine Moderator Vito Marco Ranieri (Bologna, Italy) Speakers Why Do We Need Sedation in Critically-Ill COVID-19 Patients? Salvatore Maurizio Maggiore (Chieti, Italy) How Should We Manage Sedation in Critically-Ill... Read more