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Comment
. 2005 Jun;9(3):247-8.
doi: 10.1186/cc3523. Epub 2005 Apr 18.

Narcotic-based sedation regimens for critically ill mechanically ventilated patients

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Comment

Narcotic-based sedation regimens for critically ill mechanically ventilated patients

Pratik Pandharipande et al. Crit Care. 2005 Jun.

Abstract

Sedatives and analgesics are routinely used in the intensive care unit to relieve pain and anxiety. These agents have numerous side effects and may contribute to poor outcomes such as increased length of mechanical ventilation, longer ICU stays and acute and long-term cognitive dysfunction. Modifying sedation paradigms utilizing either narcotic-based regimens with remifentanil or fentanyl, or by using alpha2 agonists such as dexmedetomidine may help in improving these outcomes in critically ill patients.

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References

    1. Breen D, Karabinis A, Malbrain M, Morais R, Albrecht S, Jarnvig I-L, Parkinson P, Kirkham AJT. Decreased time on mechanical ventilation when comparing analgesia-based sedation using remifen-tanil versus standard hypnotic-based sedation for up to 10 days in ICU patients: a randomised trial. [ISRCTN47583497] Crit Care. 2005;9:R200–R210. doi: 10.1186/cc3495. - DOI - PMC - PubMed
    1. Jacobi J, Fraser GL, Coursin DB, Riker R, Fontaine D, Wittbrodt ET, Chalfin DB, Masica MF, Bjerke S, Coplin WM, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med. 2002;30:119–141. doi: 10.1097/00003246-200201000-00020. - DOI - PubMed
    1. Dubois MJ, Bergeron N, Dumont M, Dial S, Skrobik Y. Delirium in an intensive care unit: a study of risk factors. Intensive Care Med. 2001;27:1297–304. doi: 10.1007/s001340101017. - DOI - PubMed
    1. Pandharipande P, Shintani A, Peterson J, Ely EW. Sedative and analgesic medications are independent risk factors in icu patients for transitioning into delirium [abstract] Crit Care Med. 2004;32:A19.
    1. Marcantonio ER, Juarez G, Goldman L, Mangione CM, Ludwig LE, Lind L, Katz N, Cook F, Orav J, Lee TH. The relationship of postoperative delirium with psychoactive medications. JAMA. 1994;272:1518–1522. doi: 10.1001/jama.272.19.1518. - DOI - PubMed

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