ICU Vivas · Sedation & paralysis
Clinical viva — your approach to sedating the ventilated ICU patient
A clinical viva on the structured approach to ICU sedation — the PADIS analgesia-first framework, the RASS target and daily interruption, the agent selection by phase of illness, and the prevention of delirium and weakness.
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Study tools
Target exams
CICMFFICMEDIC
Prompt
A clinical viva on the structured approach to ICU sedation — the PADIS analgesia-first framework, the RASS target and daily interruption, the agent selection by phase of illness, and the prevention of delirium and weakness.
The question
"Take me through your approach to sedating the mechanically ventilated ICU patient."[1]
References4ShowHide
- [1]Devlin JW, Skrobik Y, Gélinas C, et al. Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU (PADIS). Critical Care Medicine, 2018.PMID 30113379
- [2]Kress JP, Pohlman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. New England Journal of Medicine, 2000.PMID 10816184
- [3]Reade MC, Finfer S Sedation and delirium in the intensive care unit. New England Journal of Medicine, 2014.PMID 24476433
- [4]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.