Helping to manage underlying causes

One first step is to examine the reasons why we turn to sedation, and then seek to manage the underlying causes.([FOOTNOTE=Barr J, Fraser GL, Puntillo K, et al; American College of Critical Care Medicine. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;41(1):263-306.],[ANCHOR=],[LINK=])

For more than a decade, ICU clinicians have studied the effects of sedation on the comfort and outcomes of their patients.1 Yet, even during clinical trials that closely implement protocol-driven sedation, 32% of patients were minimally- or non-arousable, but only 2.6% of these patients were given an oversedation rating.([FOOTNOTE=Weinert CR, Calvin AD. Epidemiology of sedation and sedation adequacy for mechanically ventilated patients in a medical and surgical intensive care unit. Crit Care Med. 2007;35(2):393-401.],[ANCHOR=],[LINK=])  What might this rate discrepancy be in the absence of protocol-driven sedation? And how can clinicians improve care?

Improving Outcomes

We have a solution.

A key to avoiding unnecessary sedation and its clinical consequences is to understand the causes of agitation.

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