Narcotic-based sedation regimens for critically ill mechanically ventilated patients
- PMID: 15987412
- PMCID: PMC1175895
- DOI: 10.1186/cc3523
Narcotic-based sedation regimens for critically ill mechanically ventilated patients
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.
Comment on
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Decreased duration of mechanical ventilation when comparing analgesia-based sedation using remifentanil with standard hypnotic-based sedation for up to 10 days in intensive care unit patients: a randomised trial [ISRCTN47583497].Crit Care. 2005 Jun;9(3):R200-10. doi: 10.1186/cc3495. Epub 2005 Mar 15. Crit Care. 2005. PMID: 15987391 Free PMC article. Clinical Trial.
References
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