The Effect of Sedation Protocol Using Richmond Agitation-Sedation Scale (RASS) on Some Clinical Outcomes of Mechanically Ventilated Patients in Intensive Care Units: a Randomized Clinical Trial
Introduction: Providing for patients’ comfort and reducing their pain is one of the important tasks of health care professionals in the Intensive Care Unit (ICU). The current study was conducted to determine the effect of a protocol using a Richmond Agitation-Sedation Scale (RASS) on some clinical o...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tabriz University of Medical Sciences
2019-12-01
|
| Series: | Journal of Caring Sciences |
| Subjects: | |
| Online Access: | https://jcs.tbzmed.ac.ir/PDF/jcs-25539 |
| _version_ | 1818134988670894080 |
|---|---|
| author | Zahra Taran Masoumeh Namadian Soghrat Faghihzadeh Taraneh Naghibi |
| author_facet | Zahra Taran Masoumeh Namadian Soghrat Faghihzadeh Taraneh Naghibi |
| author_sort | Zahra Taran |
| collection | DOAJ |
| description | Introduction: Providing for patients’ comfort and reducing their pain is one of the important tasks of health care professionals in the Intensive Care Unit (ICU). The current study was conducted to determine the effect of a protocol using a Richmond Agitation-Sedation Scale (RASS) on some clinical outcomes of patients under mechanical ventilation (MV) in 2017. Methods: This single-blind clinical trial was conducted on 79 traumatic patients in the ICU who were randomly allocated into the intervention (N=40) and the control groups (N=39). The sedation was achieved, using a sedation protocol in the intervention group and the routine care in the control group. The clinical outcomes of the patients (duration of MV, length of staying in ICU, final outcome) were measured. As the participants had different lengths of MV and staying in ICU, the data were restructured, and were analyzed, using proper statistical methods. Results: The patients’ level of sedation in the intervention group was significantly closer to the ideal score of RASS (-1 to +1). The duration of MV was significantly reduced in the intervention group, and the length of stay in the ICU was also significantly shorter. There was no difference in terms of final outcome. The ICU cost in the control group was twice as high as the cost in of the intervention group. Conclusion: The applied sedation protocol in this study would provide better sedation and could consequently lead to significantly better clinical outcomes, and the cost of caring as a result. |
| first_indexed | 2024-12-11T09:17:22Z |
| format | Article |
| id | doaj.art-9a5e4cb070a4432e956de18f7194ccc4 |
| institution | Directory Open Access Journal |
| issn | 2251-9920 |
| language | English |
| last_indexed | 2024-12-11T09:17:22Z |
| publishDate | 2019-12-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Caring Sciences |
| spelling | doaj.art-9a5e4cb070a4432e956de18f7194ccc42022-12-22T01:13:21ZengTabriz University of Medical SciencesJournal of Caring Sciences2251-99202019-12-018419920610.15171/jcs.2019.028jcs-25539The Effect of Sedation Protocol Using Richmond Agitation-Sedation Scale (RASS) on Some Clinical Outcomes of Mechanically Ventilated Patients in Intensive Care Units: a Randomized Clinical TrialZahra Taran0Masoumeh Namadian1Soghrat Faghihzadeh2Taraneh Naghibi31Department of Nursing, Nursing & Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran2Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran3Department of Epidemiology and Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran4Department of Anesthesiology and Critical Care Medicine, School of Medicine, Zanjan University of Medical Sciences, Zanjan, IranIntroduction: Providing for patients’ comfort and reducing their pain is one of the important tasks of health care professionals in the Intensive Care Unit (ICU). The current study was conducted to determine the effect of a protocol using a Richmond Agitation-Sedation Scale (RASS) on some clinical outcomes of patients under mechanical ventilation (MV) in 2017. Methods: This single-blind clinical trial was conducted on 79 traumatic patients in the ICU who were randomly allocated into the intervention (N=40) and the control groups (N=39). The sedation was achieved, using a sedation protocol in the intervention group and the routine care in the control group. The clinical outcomes of the patients (duration of MV, length of staying in ICU, final outcome) were measured. As the participants had different lengths of MV and staying in ICU, the data were restructured, and were analyzed, using proper statistical methods. Results: The patients’ level of sedation in the intervention group was significantly closer to the ideal score of RASS (-1 to +1). The duration of MV was significantly reduced in the intervention group, and the length of stay in the ICU was also significantly shorter. There was no difference in terms of final outcome. The ICU cost in the control group was twice as high as the cost in of the intervention group. Conclusion: The applied sedation protocol in this study would provide better sedation and could consequently lead to significantly better clinical outcomes, and the cost of caring as a result.https://jcs.tbzmed.ac.ir/PDF/jcs-25539clinical trialmechanical ventilationintensive care unitsedation |
| spellingShingle | Zahra Taran Masoumeh Namadian Soghrat Faghihzadeh Taraneh Naghibi The Effect of Sedation Protocol Using Richmond Agitation-Sedation Scale (RASS) on Some Clinical Outcomes of Mechanically Ventilated Patients in Intensive Care Units: a Randomized Clinical Trial Journal of Caring Sciences clinical trial mechanical ventilation intensive care unit sedation |
| title | The Effect of Sedation Protocol Using Richmond Agitation-Sedation Scale (RASS) on Some Clinical Outcomes of Mechanically Ventilated Patients in Intensive Care Units: a Randomized Clinical Trial |
| title_full | The Effect of Sedation Protocol Using Richmond Agitation-Sedation Scale (RASS) on Some Clinical Outcomes of Mechanically Ventilated Patients in Intensive Care Units: a Randomized Clinical Trial |
| title_fullStr | The Effect of Sedation Protocol Using Richmond Agitation-Sedation Scale (RASS) on Some Clinical Outcomes of Mechanically Ventilated Patients in Intensive Care Units: a Randomized Clinical Trial |
| title_full_unstemmed | The Effect of Sedation Protocol Using Richmond Agitation-Sedation Scale (RASS) on Some Clinical Outcomes of Mechanically Ventilated Patients in Intensive Care Units: a Randomized Clinical Trial |
| title_short | The Effect of Sedation Protocol Using Richmond Agitation-Sedation Scale (RASS) on Some Clinical Outcomes of Mechanically Ventilated Patients in Intensive Care Units: a Randomized Clinical Trial |
| title_sort | effect of sedation protocol using richmond agitation sedation scale rass on some clinical outcomes of mechanically ventilated patients in intensive care units a randomized clinical trial |
| topic | clinical trial mechanical ventilation intensive care unit sedation |
| url | https://jcs.tbzmed.ac.ir/PDF/jcs-25539 |
| work_keys_str_mv | AT zahrataran theeffectofsedationprotocolusingrichmondagitationsedationscalerassonsomeclinicaloutcomesofmechanicallyventilatedpatientsinintensivecareunitsarandomizedclinicaltrial AT masoumehnamadian theeffectofsedationprotocolusingrichmondagitationsedationscalerassonsomeclinicaloutcomesofmechanicallyventilatedpatientsinintensivecareunitsarandomizedclinicaltrial AT soghratfaghihzadeh theeffectofsedationprotocolusingrichmondagitationsedationscalerassonsomeclinicaloutcomesofmechanicallyventilatedpatientsinintensivecareunitsarandomizedclinicaltrial AT taranehnaghibi theeffectofsedationprotocolusingrichmondagitationsedationscalerassonsomeclinicaloutcomesofmechanicallyventilatedpatientsinintensivecareunitsarandomizedclinicaltrial AT zahrataran effectofsedationprotocolusingrichmondagitationsedationscalerassonsomeclinicaloutcomesofmechanicallyventilatedpatientsinintensivecareunitsarandomizedclinicaltrial AT masoumehnamadian effectofsedationprotocolusingrichmondagitationsedationscalerassonsomeclinicaloutcomesofmechanicallyventilatedpatientsinintensivecareunitsarandomizedclinicaltrial AT soghratfaghihzadeh effectofsedationprotocolusingrichmondagitationsedationscalerassonsomeclinicaloutcomesofmechanicallyventilatedpatientsinintensivecareunitsarandomizedclinicaltrial AT taranehnaghibi effectofsedationprotocolusingrichmondagitationsedationscalerassonsomeclinicaloutcomesofmechanicallyventilatedpatientsinintensivecareunitsarandomizedclinicaltrial |