SCCM Resource Library-Back to the Future: Managing Sedation Before and After COVID-19

Video Transcription

Video Summary

The speaker discusses the management of sedation in the ICU before and after the COVID-19 pandemic. They start by reviewing the 2018 PADIS guidelines, which focused on reducing immobility and sleep disruption and included patient collaboration. Compliance with these guidelines was associated with better patient outcomes. However, during the pandemic, ICUs faced challenges due to social distancing, quarantine regulations, lack of family visitations, and staffing constraints. This led to a departure from established guidelines, with deeper levels of sedation, increased use of non-standard sedatives like benzodiazepines, and polypharmacy becoming common. Delirium rates were significantly higher in COVID-19 patients, and A2F bundle compliance dropped. These departures from best practices were not limited to COVID-19 patients alone. The excessive use of sedatives in COVID-19 patients correlated with higher mortality rates. Moving forward, the speaker emphasizes the need to learn from the mistakes of the pandemic, return to evidence-based practices, and recognize the importance of sedation and delirium management. They also highlight exciting personalized sedation strategies and the vision of creating a healing environment in the ICU.

Asset Subtitle

Pharmacology, Crisis Management, 2023

Asset Caption

Type: two-hour concurrent | The ABC's of Sedation and Delirium Management in Adult Patients (SessionID 1333301)

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Area Crisis Management

Learning Pathway Delirium and Sedation Managment

Membership Level Professional

Membership Level Select

Tag Analgesia and Sedation

Tag COVID-19

Year 2023

Keywords

ICU management

sedation

COVID-19 pandemic

PADIS guidelines

patient outcomes

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