Sedation in the critically ill patient

Transplantation Proceedings
M G CostaG Della Rocca

Abstract

Critically ill patients who require intensive care need effective analgesia and sedation to control potentially unpleasant symptoms, such as pain and anxiety. Analgesics and sedatives are also used to allow patients to tolerate nursing procedures and tracheal intubation as well as to aid mechanical ventilation. Metabolism of traditional opioids is dependent on organ function, which is abnormal among critically ill patients. The use of a score system to ensure sufficient but not excessive sedation should be mandatory. Sufentanil and remifentanil are more predictable opioids that are suitable for either sedation or analgesia in critically ill patients to achieve an adequate Ramsay score from 2 to 4.

References

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Aug 19, 2003·Intensive Care Medicine·Frédéric EthuinLaurent Jacob

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Citations

Nov 24, 2011·Pain Research and Treatment·F CevikC Macit
Feb 15, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Diana Lebherz-EichingerRudolf Seemann
Sep 29, 2012·Journal of Veterinary Emergency and Critical Care·Ainsley E BoudreauRon J Johnson
Jun 21, 2015·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Vahid SaadatmandSue Jordan

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