Sedation of Ventilated Patients and Analgesia.
Sandiumenge, Alberto MD, PhD
One of every 3 patients admitted in an intensive care unit undergoes mechanical
ventilation. Sedation and analgesia are required to facilitate patient
tolerance to such an aggressive procedure, diminishing stress response,
relieving pain and anxiety, ensuring patient comfort, and facilitating nursing
care. However, misuse of sedatives and analgesics may impact negatively on
critically ill patients. The recognition of the potential for enduring effects
derived from sedative and analgesic misuse, the availability of new agents, and
the growing emphasis on cost containment have led to important changes in the
way that sedation and analgesia practices are implemented. The aim of the
present review is to discuss the agents, indications, complications, and most
important strategies to optimize the sedation and analgesic practices in the
intensive care unit.
Clin Pulm Med 2010;17: 290–299
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Dr.Máximo Cuadros Chávez
Celular 99199698 – Movistar - rpm #800515
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