"improving intensive care in Scotland"

Sedation and Analgesia in ICU

Agents used for sedation in ICU

Include:

 

Some general points:

  • There is not a single universally accepted ICU sedation protocol, therefore many units have their own which you should seek out and familiarise yourself with.

  • Most ICU patients will encounter painful or uncomfortable stimuli as a consequence of their illness or management, therefore analgesia should almost always be provided with sedation.

  • All sedative drugs should be titrated (both up and down) to a target sedation score.

  • When increasing the rate of a sedative infusion, a bolus dose should be given to achieve a more rapid attainment of an adequate, steady state effect site (brain) concentration.

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