Abstract
Your Patient's Brain| July 2022 Back to the Future: Evidence-Based Sedation Practices in the ICU? Dusan Hanidziar, MD, PhD; Dusan Hanidziar, MD, PhD Search for other works by this author on: This Site PubMed Google Scholar Daniel J. Cole, MD, FASA; Daniel J. Cole, MD, FASA Search for other works by this author on: This Site PubMed Google Scholar Elizabeth Mahanna Gabrielli, MD Elizabeth Mahanna Gabrielli, MD Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor July 2022, Vol. 86, 11–12. https://doi.org/10.1097/01.ASM.0000842024.01503.bb Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation Dusan Hanidziar, Daniel J. Cole, Elizabeth Mahanna Gabrielli; Back to the Future: Evidence-Based Sedation Practices in the ICU?. ASA Monitor 2022; 86:11–12 doi: https://doi.org/10.1097/01.ASM.0000842024.01503.bb Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: evidence-based practice, intensive care unit, sedation procedure With the beginning of the COVID-19 pandemic, ICUs in the United States and around the world quickly reverted to practices that were common over two decades ago – the administration of deep sedation in mechanically ventilated patients, lack of daily spontaneous awakening and breathing trials, insufficient patient mobilization, and delayed tracheostomies, as well as less communication and restricted access for families. Although understandable in the midst of a national health care crisis, these practices likely contributed to prolonged mechanical ventilation, opioid and benzodiazepine dependance, increased prevalence of coma and delirium, and lingering physical and cognitive disability that continue to be reported in many COVID-19 ICU cohorts (Anesth Analg 2020;131:e40-1). How did COVID-19 rapidly reverse 20 years of progress in evidence-based sedation and ICU liberation? In patients with COVID-19 ARDS, tachypnea, excessive respiratory drive, and ventilator dyssynchronies are commonly observed and attributed to high dead space (due to pulmonary... You do not currently have access to this content.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
