SCCM Resource Library-C: Choice of Analgesia and Sedation

Video Transcription

Video Summary

In this video, Joanna Stallings discusses the choice of analgesia and sedation in the ICU. She starts by explaining the difference between the 2013 and 2018 guidelines, which incorporate early mobility and sleep into the guidelines. She then goes on to discuss the choice of analgesia, emphasizing that pain and agitation are interconnected and should be treated together. Opiates should be the first-line agent for non-neuropathic pain, and consideration should be given to their side effects. She also discusses the use of non-opiate analgesics and multimodal analgesia. Moving on to sedation, she highlights the properties of an ideal sedative agent and discusses the different sedative agents currently available. She explains the importance of light sedation and daily awakening trials. She also presents specific recommendations for sedation in cardiac surgery patients and general medical/surgical patients. She concludes by emphasizing the importance of an interprofessional team in making these decisions.

Asset Subtitle

Pharmacology, Quality and Patient Safety, 2020

Asset Caption

This is a presentation from the 2020 Critical Care Congress precourse, ICU Liberation. C: Choice of Analgesia and Sedation was presented by Joanna Stollings, PharmD, BCPS, FCCM.

The course covered knowledge developed to improve ICU patient care through the implementation of the ICU Liberation Bundle based on the pain, agitation/sedation, delirium, immobility, and sleep disruption (PADIS) guidelines.

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Area Quality and Patient Safety

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Analgesia and Sedation

Tag Guidelines

Year 2020

Keywords

analgesia

sedation

ICU

opiates

non-opiate analgesics

sedative agent

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