NDLI: Monitoring Sedation, Agitation, Analgesia, Neuromuscular Blockade, and Delirium in Adult ICU Patients

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Monitoring Sedation, Agitation, Analgesia, Neuromuscular Blockade, and Delirium in Adult ICU Patients

Content Provider	Scilit
Author	Riker, Richard R. Fraser, Gilles L.
Copyright Year	2001
Description	Preliminary evidence suggests that closely monitoring sedation may have a positive effect on patient outcomes, including reductions in intensive care unit (ICU) stay, duration of mechanical ventilatory support, and number of diagnostic tests requested to assess central nervous system function. In the last few years, subjective instruments to assess agitation and sedation have been developed and tested for reliability and validity, including the Sedation-Agitation Scale and the Motor Activity Assessment Scale. Similar efforts directed to delirium among ICU patients have produced several assessment tools to help clinicians with this difficult area of patient care. Promising techniques for objective assessment of sedation (such as the bispectral index) and strategies to guide neuromuscular blockade with train-of-four (TOF) or clinical exam monitoring have emerged. Future efforts should focus on evaluating the impact of these monitoring techniques on specific outcomes in an effort to improve patient comfort, minimize adverse events, and reduce resource consumption.
Related Links	http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2001-13832.pdf
Ending Page	198
Page Count	10
Starting Page	189
ISSN	10693424
e-ISSN	10989048
DOI	10.1055/s-2001-13832
Journal	Seminars in Respiratory and Critical Care Medicine
Issue Number	02
Volume Number	22
Language	English
Publisher	Georg Thieme Verlag KG
Publisher Date	2001-12-31
Access Restriction	Open
Subject Keyword	Journal: Seminars in Respiratory and Critical Care Medicine Critical Care Medicine Reproducibility of Results
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Critical Care and Intensive Care Medicine

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