Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-2: Sedation and Analgesia: Practical Drug Selection and Pharmacology (Sarah M. Cocoma, MD)

2: Sedation and Analgesia: Practical Drug Selection and Pharmacology (Sarah M. Cocoma, MD)

Video Transcription

Video Summary

Dr. Sarah Kacoma from Rush University Medical Center in Chicago discusses the importance of sedation and analgesia in ICU patients. Key points include using validated scales to measure anxiety, agitation, and pain, setting individualized therapy goals, and monitoring outcomes. Sedation protocols with daily interruptions have shown benefits in reducing mechanical ventilation duration. Various sedative options like benzodiazepines, propofol, dexmedetomidine, and ketamine are reviewed, each with specific effects and considerations. Pain assessment is highlighted as subjective and undertreated in ICU patients, emphasizing the need for analgesics to manage pain effectively. The importance of addressing pain before administering sedatives is emphasized. The video concludes with a discussion on SCCM guidelines for pain, agitation, and delirium management in the ICU, focusing on personalized care strategies and pharmacological options to improve patient outcomes.

Keywords

sedation

agitation

pain

Richmond Agitation Sedation Scale

ICU

pain management

sedation and analgesia

ICU patients

validated scales

sedation protocols

sedative options

pain assessment

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