Sedation for adult ICU patients: A narrative review including a retrospective study of our own data
The optimization of patients' treatment in the intensive care unit (ICU) needs a lot of information and literature analysis. Many changes have been made in the last years to help evaluate sedated patients by scores to help take care of them. Patients were completely sedated and had continuous i...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2023;volume=17;issue=2;spage=223;epage=235;aulast=Bels |
| _version_ | 1827986007224483840 |
|---|---|
| author | David De Bels Ibrahim Bousbiat Emily Perriens Sydney Blackman Patrick M Honoré |
| author_facet | David De Bels Ibrahim Bousbiat Emily Perriens Sydney Blackman Patrick M Honoré |
| author_sort | David De Bels |
| collection | DOAJ |
| description | The optimization of patients' treatment in the intensive care unit (ICU) needs a lot of information and literature analysis. Many changes have been made in the last years to help evaluate sedated patients by scores to help take care of them. Patients were completely sedated and had continuous intravenous analgesia and neuromuscular blockades. These three drug classes were the main drugs used for intubated patients in the ICU. During these last 20 years, ICU management went from fully sedated to awake, calm, and nonagitated patients, using less sedatives and choosing other drugs to decrease the risks of delirium during or after the ICU stay. Thus, the usefulness of these three drug classes has been challenged. The analgesic drugs used were primarily opioids but the use of other drugs instead is increasing to lessen or wean the use of opioids. In severe acute respiratory distress syndrome patients, neuromuscular blocking agents have been used frequently to block spontaneous respiration for 48 hours or more; however, this has recently been abolished. Optimizing a patient's comfort during hemodynamic or respiratory extracorporeal support is essential to reduce toxicity and secondary complications. |
| first_indexed | 2024-04-09T23:23:55Z |
| format | Article |
| id | doaj.art-37de43f389ea47ea9d553b0237d5e335 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-04-09T23:23:55Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-37de43f389ea47ea9d553b0237d5e3352023-03-21T11:26:55ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2023-01-0117222323510.4103/sja.sja_905_22Sedation for adult ICU patients: A narrative review including a retrospective study of our own dataDavid De BelsIbrahim BousbiatEmily PerriensSydney BlackmanPatrick M HonoréThe optimization of patients' treatment in the intensive care unit (ICU) needs a lot of information and literature analysis. Many changes have been made in the last years to help evaluate sedated patients by scores to help take care of them. Patients were completely sedated and had continuous intravenous analgesia and neuromuscular blockades. These three drug classes were the main drugs used for intubated patients in the ICU. During these last 20 years, ICU management went from fully sedated to awake, calm, and nonagitated patients, using less sedatives and choosing other drugs to decrease the risks of delirium during or after the ICU stay. Thus, the usefulness of these three drug classes has been challenged. The analgesic drugs used were primarily opioids but the use of other drugs instead is increasing to lessen or wean the use of opioids. In severe acute respiratory distress syndrome patients, neuromuscular blocking agents have been used frequently to block spontaneous respiration for 48 hours or more; however, this has recently been abolished. Optimizing a patient's comfort during hemodynamic or respiratory extracorporeal support is essential to reduce toxicity and secondary complications.http://www.saudija.org/article.asp?issn=1658-354X;year=2023;volume=17;issue=2;spage=223;epage=235;aulast=Belsanalgesiabenzodiazepinesdeliriumdexmedetomidinemechanical ventilation opioids sedationneuromuscular blockadepainpropofol |
| spellingShingle | David De Bels Ibrahim Bousbiat Emily Perriens Sydney Blackman Patrick M Honoré Sedation for adult ICU patients: A narrative review including a retrospective study of our own data Saudi Journal of Anaesthesia analgesia benzodiazepines delirium dexmedetomidine mechanical ventilation opioids sedation neuromuscular blockade pain propofol |
| title | Sedation for adult ICU patients: A narrative review including a retrospective study of our own data |
| title_full | Sedation for adult ICU patients: A narrative review including a retrospective study of our own data |
| title_fullStr | Sedation for adult ICU patients: A narrative review including a retrospective study of our own data |
| title_full_unstemmed | Sedation for adult ICU patients: A narrative review including a retrospective study of our own data |
| title_short | Sedation for adult ICU patients: A narrative review including a retrospective study of our own data |
| title_sort | sedation for adult icu patients a narrative review including a retrospective study of our own data |
| topic | analgesia benzodiazepines delirium dexmedetomidine mechanical ventilation opioids sedation neuromuscular blockade pain propofol |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2023;volume=17;issue=2;spage=223;epage=235;aulast=Bels |
| work_keys_str_mv | AT daviddebels sedationforadulticupatientsanarrativereviewincludingaretrospectivestudyofourowndata AT ibrahimbousbiat sedationforadulticupatientsanarrativereviewincludingaretrospectivestudyofourowndata AT emilyperriens sedationforadulticupatientsanarrativereviewincludingaretrospectivestudyofourowndata AT sydneyblackman sedationforadulticupatientsanarrativereviewincludingaretrospectivestudyofourowndata AT patrickmhonore sedationforadulticupatientsanarrativereviewincludingaretrospectivestudyofourowndata |