A national survey on routines regarding sedation in Swedish intensive care units
Background: Previous studies concerning sedation in Swedish intensive care units (ICU) have shown variability in drug choices and strategies. Currently, there are no national guidelines on this topic. As an update to a Nordic survey from 2004, and as a follow-up to a recently introduced quality indi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Upsala Medical Society
2019-07-01
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| Series: | Upsala Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/03009734.2019.1616339 |
| _version_ | 1797728855124869120 |
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| author | Oskar Talsi Ritva Kiiski Berggren Göran Johansson Ola Winsö |
| author_facet | Oskar Talsi Ritva Kiiski Berggren Göran Johansson Ola Winsö |
| author_sort | Oskar Talsi |
| collection | DOAJ |
| description | Background: Previous studies concerning sedation in Swedish intensive care units (ICU) have shown variability in drug choices and strategies. Currently, there are no national guidelines on this topic. As an update to a Nordic survey from 2004, and as a follow-up to a recently introduced quality indicator from the Swedish Intensive Care Registry, we performed a national survey. Methods: A digital survey was sent to the ICUs in Sweden, asking for sedation routines regarding hypnosedatives, analgosedatives, protocols, sedation scales, etc. Results: Fifty out of 80 ICUs responded to the survey. All units used sedation scales, and 88% used the RASS scale; 80% used written guidelines for sedation. Propofol and dexmedetomidine were the preferred short-term hypnosedatives. Propofol, dexmedetomidine, and midazolam were preferred for long-term hypnosedation. Remifentanil, morphine, and fentanyl were the most frequently used agents for analgosedation. Conclusions: All ICUs used a sedation scale, an increase compared with previous studies. Concerning the choice of hypno- and analgosedatives, the use of dexmedetomidine, clonidine, and remifentanil has increased, and the use of benzodiazepines has decreased since the Nordic survey in 2004. |
| first_indexed | 2024-03-12T11:20:02Z |
| format | Article |
| id | doaj.art-bd01a07af0ec48278a43a7cdd55fa691 |
| institution | Directory Open Access Journal |
| issn | 0300-9734 2000-1967 |
| language | English |
| last_indexed | 2024-03-12T11:20:02Z |
| publishDate | 2019-07-01 |
| publisher | Upsala Medical Society |
| record_format | Article |
| series | Upsala Journal of Medical Sciences |
| spelling | doaj.art-bd01a07af0ec48278a43a7cdd55fa6912023-09-02T00:59:32ZengUpsala Medical SocietyUpsala Journal of Medical Sciences0300-97342000-19672019-07-01124319920210.1080/03009734.2019.16163391616339A national survey on routines regarding sedation in Swedish intensive care unitsOskar Talsi0Ritva Kiiski Berggren1Göran Johansson2Ola Winsö3Umeå UniversityUmeå UniversityUmeå UniversityUmeå UniversityBackground: Previous studies concerning sedation in Swedish intensive care units (ICU) have shown variability in drug choices and strategies. Currently, there are no national guidelines on this topic. As an update to a Nordic survey from 2004, and as a follow-up to a recently introduced quality indicator from the Swedish Intensive Care Registry, we performed a national survey. Methods: A digital survey was sent to the ICUs in Sweden, asking for sedation routines regarding hypnosedatives, analgosedatives, protocols, sedation scales, etc. Results: Fifty out of 80 ICUs responded to the survey. All units used sedation scales, and 88% used the RASS scale; 80% used written guidelines for sedation. Propofol and dexmedetomidine were the preferred short-term hypnosedatives. Propofol, dexmedetomidine, and midazolam were preferred for long-term hypnosedation. Remifentanil, morphine, and fentanyl were the most frequently used agents for analgosedation. Conclusions: All ICUs used a sedation scale, an increase compared with previous studies. Concerning the choice of hypno- and analgosedatives, the use of dexmedetomidine, clonidine, and remifentanil has increased, and the use of benzodiazepines has decreased since the Nordic survey in 2004.http://dx.doi.org/10.1080/03009734.2019.1616339analgesicsintensive caremechanical ventilationsedation scalesedatives |
| spellingShingle | Oskar Talsi Ritva Kiiski Berggren Göran Johansson Ola Winsö A national survey on routines regarding sedation in Swedish intensive care units Upsala Journal of Medical Sciences analgesics intensive care mechanical ventilation sedation scale sedatives |
| title | A national survey on routines regarding sedation in Swedish intensive care units |
| title_full | A national survey on routines regarding sedation in Swedish intensive care units |
| title_fullStr | A national survey on routines regarding sedation in Swedish intensive care units |
| title_full_unstemmed | A national survey on routines regarding sedation in Swedish intensive care units |
| title_short | A national survey on routines regarding sedation in Swedish intensive care units |
| title_sort | national survey on routines regarding sedation in swedish intensive care units |
| topic | analgesics intensive care mechanical ventilation sedation scale sedatives |
| url | http://dx.doi.org/10.1080/03009734.2019.1616339 |
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