Are Daily Sedation Stops Safe in a Medical Icu?

As Debue,J Dhumeaux,S Lefort,Jp Mira,S Cabon,M Reffiena,J Charpentier,P Lucas,M Arnaout,A Cariou,N Ericher,C Boulila,Jd Chiche,A Marincamp,J Busson

doi:10.1186/2197-425x-3-s1-a26

Abstract

Despite evidence that daily sedation stops (DSS) by nurses reduce duration of mechanical ventilation (MV), DSS are not part of routine practice in most ICUs. Reasons for slow adoption include scepticism over efficacy, logistical burden in initiating changes, and fear of adverse events during sedation stops. Whether sedation stops are associated with significant adverse events is unknown.

Highlights

Despite evidence that daily sedation stops (DSS) by nurses reduce duration of mechanical ventilation (MV), DSS are not part of routine practice in most ICUs
Are daily sedation stops safe in a medical ICU?
This study aims to evaluate adverse events occurring during 2-hour DSS in a medical ICU

Summary

Introduction

Despite evidence that daily sedation stops (DSS) by nurses reduce duration of mechanical ventilation (MV), DSS are not part of routine practice in most ICUs. Whether sedation stops are associated with significant adverse events is unknown

Methods

Conclusions

Results