International Analgesia, Sedation, and Delirium Practices: a prospective cohort study
Autor: | Marco González, Antonio Anzueto, Mayur B. Patel, Oscar Peñuelas, Joanna L. Stollings, Fernando Frutos-Vivar, Amine Ali Zeggwagh, Konstantinos Raymondos, Pravin Amin, Morgan A. Hosay, Bin Du, James W. Stewart, Dimitrios Matamis, Shayan Rakhit, Gary D. Owen, Li Wang, Salvatore Maurizio Maggiore, Andrés Esteban, Chang Yu, Arnaud W. Thille, Fekri Abroug, Fernando Rios |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
medicine.drug_class Sedation medicine.medical_treatment Critical Care and Intensive Care Medicine 03 medical and health sciences Mechanical ventilation 0302 clinical medicine medicine Prospective cohort study Agitation Benzodiazepine business.industry Research lcsh:Medical emergencies. Critical care. Intensive care. First aid Delirium 030208 emergency & critical care medicine lcsh:RC86-88.9 3. Good health Clinical Practice 030228 respiratory system Sedative Critical illness Emergency medicine Analgesia medicine.symptom business |
Zdroj: | Journal of Intensive Care Journal of Intensive Care, Vol 7, Iss 1, Pp 1-7 (2019) |
ISSN: | 2052-0492 |
Popis: | Background While understanding of critical illness and delirium continue to evolve, the impact on clinical practice is often unknown and delayed. Our purpose was to provide insight into practice changes by characterizing analgesia and sedation usage and occurrence of delirium in different years and international regions. Methods We performed a retrospective analysis of two multicenter, international, prospective cohort studies. Mechanically ventilated adults were followed for up to 28 days in 2010 and 2016. Proportion of days utilizing sedation, analgesia, and performance of a spontaneous awakening trial (SAT), and occurrence of delirium were described for each year and region and compared between years. Results A total of 14,281 patients from 6 international regions were analyzed. Proportion of days utilizing analgesia and sedation increased from 2010 to 2016 (p |
Databáze: | OpenAIRE |
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