Liberation and animation for ventilated ICU patients: the ABCDE bundle for the back-end of critical care
- PMID: 20497606
- PMCID: PMC2911702
- DOI: 10.1186/cc8999
Liberation and animation for ventilated ICU patients: the ABCDE bundle for the back-end of critical care
Abstract
Critically ill patients are frequently prescribed sedatives and analgesics to ensure patient safety, to relieve pain and anxiety, to reduce stress and oxygen consumption, and to prevent patient ventilator dysynchrony. Recent studies have revealed that these medications themselves contribute to worsening clinical outcomes. An evidence-based organizational approach referred to as the ABCDE bundle (Awakening and Breathing Coordination of daily sedation and ventilator removal trials; Choice of sedative or analgesic exposure; Delirium monitoring and management; and Early mobility and Exercise) is presented in this commentary.
Comment on
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A systematic review of the impact of sedation practice in the ICU on resource use, costs and patient safety.Crit Care. 2010;14(2):R59. doi: 10.1186/cc8956. Epub 2010 Apr 9. Crit Care. 2010. PMID: 20380720 Free PMC article.
References
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- Girard TD, Kress JP, Fuchs BD, Thomason JW, Schweickert WD, Pun BT, Taichman DB, Dunn JG, Pohlman AS, Kinniry PA, Jackson JC, Canonico AE, Light RW, Shintani AK, Thompson JL, Gordon SM, Hall JB, Dittus RS, Bernard GR, Ely EW. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet. 2008;371:126–134. doi: 10.1016/S0140-6736(08)60105-1. - DOI - PubMed
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