Multiprofessional Critical Care Review: Adult (2023)-2: Sedation and Analgesia: Practical Drug Selection and Pharmacology (Todd Dorman, MD, FCCM)

2: Sedation and Analgesia: Practical Drug Selection and Pharmacology (Todd Dorman, MD, FCCM)

Video Transcription

Video Summary

The key points of this presentation on sedation and analgesia are as follows: <br />1. It is important to measure anxiety, agitation, and pain using a validated scale.<br />2. Establishing goals of therapy is crucial.<br />3. Monitoring the process of care, including the drug and dose, as well as the outcome compared to the goal, is necessary.<br />4. Agitation can be caused by pain, anxiety, or delirium, and treating the underlying discomfort is essential.<br />5. The most commonly used scale for measuring agitation is the Richmond Agitation Sedation Scale (RASS).<br />6. Sedation protocols that include daily interruptions and maintenance of light levels of sedation have been shown to be beneficial.<br />7. Dexmedetomidine is a growingly utilized sedative in the ICU.<br />8. Pain assessment should be done using standardized scales, and pain management should include both opioids and adjuvant medications.<br />9. Multimodal pain management incorporating non-pharmacological interventions and regional techniques is recommended.<br />10. The SCCM practice guidelines provide comprehensive recommendations for the management of pain, agitation, and delirium in the ICU.

Keywords

sedation

analgesia

agitation

pain

validated scale

ICU

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