Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-09

09_Sedation Analgesia

Pdf Summary

The presentation discusses various aspects of sedation and analgesia in critical care settings. It emphasizes the importance of measuring anxiety, agitation, and pain using validated scales, setting therapy goals, and monitoring outcomes. The document details different sedation scales like Ramsay Sedation Scale, Riker Sedation-Agitation Scale, and Richmond Agitation-Sedation Scale for assessing patient status. It highlights the significance of treating agitation promptly to avoid complications and longer hospital stays.<br /><br />Additionally, it covers different sedative medications such as benzodiazepines, propofol, dexmedetomidine, ketamine, and their effects. The presentation also addresses the use of analgesics like opioids and adjuvants in pain management, stressing the need for an analgesia-based sedation strategy. It mentions the importance of early mobilization, avoiding benzodiazepines, and promoting a normal sleep pattern in ICU patients.<br /><br />The document provides guidelines for managing pain, agitation, and delirium in the ICU, suggesting the use of dexmedetomidine or propofol infusions for treatment. It also recommends strategies like daily sedation interruption, analgesia-first sedation, and avoiding antipsychotics in certain conditions. Overall, the presentation underscores the need for comprehensive sedation and analgesia strategies in critical care units to ensure optimal patient outcomes.

Keywords

sedation

analgesia

critical care

anxiety

agitation

pain management

sedation scales

sedative medications

ICU guidelines

patient outcomes

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