SCCM Resource Library-Resuscitating the Letter C: Choice of Analgesia and Sedation

Video Transcription

Video Summary

In this video, the speaker discusses the best practices for managing analgesics and sedatives in the ICU. They emphasize the importance of routine assessment of sedation levels and using the widest level of sedation possible. They also highlight the negative effects of deep sedation, such as prolonged intubation and increased risk. The use of non-benzodiazepine sedatives like propofol and dexmedetomidine is recommended over benzodiazepines like midazolam. The speaker also discusses the impact of the COVID-19 pandemic on sedation practices, noting that there was a regression in the use of light sedation and non-benzodiazepine sedatives during the pandemic. They stress the need for re-education and the use of strategies like restarting pre-hospital medications, clustering patient activity, and involving clinical pharmacists to optimize sedation practices. In conclusion, choosing the right analgesic and sedative is crucial for providing the best ICU care, and it is important not to regress in sedation practices post-COVID-19.

Asset Subtitle

Quality and Patient Safety, Pharmacology, 2023

Asset Caption

Type: two-hour concurrent | Resuscitating the ICU Liberation Bundle Following COVID-19 (SessionID 9990088)

Meta Tag

Content Type Presentation

Knowledge Area Quality and Patient Safety

Knowledge Area Pharmacology

Learning Pathway Delirium and Sedation Managment

Membership Level Professional

Membership Level Select

Tag Guidelines

Tag Analgesia and Sedation

Year 2023

Keywords

ICU management

sedation levels

non-benzodiazepine sedatives

COVID-19 pandemic

sedation practices

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