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Current Practices in Sedation and Analgesia for Mechanically Ventilated Critically Ill Patients
Current sedation and pain relief methods for critically ill patients on mechanical ventilators: a multicenter patient study
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Abstract
In a study of 1,381 mechanically ventilated patients, only 43% received sedation assessment and 42% received analgesia assessment on day 2 of their ICU stay, despite 72% and 90% receiving sedatives and opioids, respectively.
- Assessment rates for sedation and analgesia were significantly lower than the rates of sedative and opioid use.
- The implementation of protocols for sedation and analgesia was associated with a reduced proportion of treated patients who were not evaluated.
- A significant number of patients were found to be in a deep state of sedation, ranging from 40-50%.
- Dosages for primary sedatives and analgesics showed minor changes over the six-day ICU stay.
- Less than 25% of patients had their procedural pain managed, with pain levels significantly increasing during procedures compared to baseline.
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