Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Sedation, Analgesia, and Neuromuscular Blockade: Drug Selection and Pharmacology

Sedation, Analgesia, and Neuromuscular Blockade: Drug Selection and Pharmacology

Video Transcription

Video Summary

Dr. Sarah Kacoma from Rush University Medical Center discusses managing anxiety, agitation, and pain in ICU patients. She emphasizes using validated scales like the Ramsey Sedation Scale, Riker Sedation Agitation Scale (SAS), and Richmond Agitation Sedation Scale (RAS) to measure these conditions. Goals include treating internal discomfort while keeping patients awake and responsive. Daily sedation interruptions and light sedation levels are recommended to improve outcomes, as supported by critical care guidelines. Sedatives such as benzodiazepines, propofol, dexmedetomidine, and ketamine, along with their benefits and risks, are reviewed. Non-pharmacological interventions like frequent orientation and early mobilization are also highlighted. Strategies include addressing pain first, then sedation, and considering adjuvants and regional analgesia. A focus is placed on reducing delirium and promoting mobility to decrease ICU stay and improve recovery.

Keywords

ICU patient management

sedation scales

sedatives

non-pharmacological interventions

delirium reduction

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