Articles Tagged With: sedation
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Dexmedetomidine for Sedation in Patients Undergoing Mechanical Ventilation in the ICU
This special feature will focus on dexmedetomidine as a sedative for invasive mechanical ventilation in the ICU.
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Dexmedetomidine and Temperature Elevation: Is the Link Important?
In this post hoc analysis of the SPICE III trial, a greater percentage of patients receiving dexmedetomidine had temperatures greater than or equal to 38.3ºC and 39.0ºC compared to usual care. Although there was a significant dose response relationship between dexmedetomidine received and increase in temperature, there was no difference between groups in terms of paracetamol, antimicrobial, neuromuscular blocker, neuroleptic drug use, blood cultures performed, or initiation of renal replacement therapy. -
Dexmedetomidine Compared to Propofol for Sedation in Mechanically Ventilated Patients with Sepsis
The MENDS2 trial found that dexmedetomidine, when used for light sedation, had outcomes similar to those for propofol. -
Pediatric Procedural Sedation and Analgesia in the Emergency Department
Children in the acute care setting may require nonpharmacologic and pharmacologic adjuncts for anxiety, pain, or to successfully complete diagnostic testing or therapeutic interventions. The authors review the requirements and pharmacologic agents necessary to complete a successful pediatric procedural sedation and analgesia.
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Ketamine Use in Emergency Medicine
Ketamine is a medication traditionally used by emergency physicians for intubation and procedural sedation. This article will discuss many common and accepted uses of ketamine, primarily for agitation, rapid sequence intubation (RSI), sedation, and pain management.
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Pediatric Sedation: A Comprehensive Review
Painful procedures are common in the acute care setting, and failing to mange a child’s anxiety and pain may have long-term consequences. Being familiar with a diversity of non-pharmacologic and pharmacologic alternatives is critical.
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Trajectory of Physical Function Recovery May Help Inform Prognosis for Survivors of Acute Respiratory Failure
There are several distinct trajectories of recovery after acute respiratory failure. The group with the highest physical function consisted primarily of younger women who experienced less continuous sedation time and shorter ICU length of stay.
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Procedural Sedation and Analgesia in the Emergency Department
Procedural sedation and analgesia (PSA) is performed in the emergency department (ED) to alleviate anxiety, decrease pain, and provide amnesia to patients undergoing painful procedures or diagnostic imaging.This article will review guidelines for performing PSA in the ED, including suggested training, preprocedural assessment, and intraprocedural monitoring.
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Pediatric Procedural Sedation
Procedural sedation is a critical skill to facilitate the performance of necessary diagnostic and therapeutic procedures in children. The clinician must have knowledge of the preparatory steps, indications, pharmacologic agents, monitoring, and recovery phase to safely and effectively perform this necessary adjunct to many common procedures. The authors review steps, current recommendations, and options to utilize procedural sedation skillfully in children. In addition, they present guidelines for managing adverse events that may be associated with the administration of procedural sedation.
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Pediatric Groups Update Sedation Clinical Guidelines
The American Academy of Pediatrics, with the American Academy of Pediatric Dentistry, has issued updated clinical guidelines for delivering safe sedation to pediatric patients before, during, and after diagnostic and therapeutic procedures.