Analgosedation and delirium in intensive care units in Brazil: current status.
            ASDUTI study

Veiga, Viviane Cordeiro; Rojas, Salomón Soriano Ordinola

doi:10.5935/0103-507x.20180025

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Use of the analgesia, sedation and delirium protocol was reported by 50% of the physicians, which was higher than other European surveys (31%; ( 29 ) 19.4%) ( 11 ) and more similar to Brazilian surveys (52.7% ( 16 ) ; 59,5% ( 9 ) ).…”

Section: Discussioncontrasting

confidence: 55%

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Sedation, analgesia, and delirium management in Portugal: a survey and point prevalence study

Paulino¹,

Costa²,

Neves³

et al. 2022

RBTI

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Objective To establish current Portuguese critical care practices regarding analgesia, sedation, and delirium based on a comparison between the activities reported and daily clinical practice. Methods A national survey was conducted among physicians invited to report their practice toward analgesia, sedation, and delirium in intensive care units. A point prevalence study was performed to analyze daily practices. Results A total of 117 physicians answered the survey, and 192 patients were included in the point prevalence study. Survey and point prevalence studies reflect a high sedation assessment (92%; 88.5%), with the Richmond Agitated Sedation Scale being the most reported and used scale (41.7%; 58.2%) and propofol being the most reported and used medication (91.4%; 58.6%). Midazolam prescribing was reported by 68.4% of responders, but a point prevalence study revealed a use of 27.6%. Although 46.4% of responders reported oversedation, this was actually documented in 32% of the patients. The survey reports the daily assessment of pain (92%) using standardized scales (71%). The same was identified in the point prevalence study, with 91.1% of analgesia assessment mainly with the Behavioral Pain Scale. In the survey, opioids were reported as the first analgesic. In clinical practice, acetaminophen was the first option (34.6%), followed by opioids. Delirium assessment was reported by 70% of physicians but was performed in less than 10% of the patients. Conclusion The results from the survey did not accurately reflect the common practices in Portuguese intensive care units, as reported in the point prevalence study. Efforts should be made specifically to avoid oversedation and to promote delirium assessment.

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Section: Discussioncontrasting

confidence: 55%

“…Other surveys conducted in different countries analyzed their own specific practices concerning analgesia, sedation and delirium (ASD) in critically ill patients. ( 9 - 16 ) All of them gave information about explicit targets for quality improvement in each specific country.…”

Section: Introductionmentioning

confidence: 99%

Sedation, analgesia, and delirium management in Portugal: a survey and point prevalence study

Paulino¹,

Costa²,

Neves³

et al. 2022

RBTI

View full text Add to dashboard Cite

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“…ICU care for post-operative cardiac surgery patients is expensive. 14,15 After surgery 90% of ventricle function is recovered within four hours. 16 anesthetist to extubate the patient earlier, but a controlled sedation is necessary for this purpose.…”

Section: Discussionmentioning

confidence: 99%

Propofol or Midazolam for Sedation and Early Extubation Following Coronary Artery Bypass Graft Surgery

Ali¹,

Khan²,

Malak³

et al. 2022

PJMHS

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Objective: To evaluate the efficacy of midazolam and propofol for postoperative sedation and early extubation following cardiac surgery. Methods: This randomized control trial was conducted at the Cardiac Surgery Department of the Choudhary Pervaiz Elahi Institute of Cardiology from February 2019 to February 2020. A total of 60 American Society of Anesthesiologists (ASA) III patients planned to undergo coronary artery bypass graft surgery were included. After shifting into intensive care unit (ICU), patients were divided in two groups by lottery method and study drugs propofol and midazolam were started. Both infusions were terminated after four hours and patients were assessed for postoperative sedation and extubation. Hemodynamic parameters, arterial blood gases and respiratory functions were assessed and recorded. Results: The mean time to awakening, time to extubation in midazolam group was 94.11±4.36 minutes, 94.47±6.11 minutes respectively and in propofol group it was 96.58±4.31 minutes, 91.91±3.94 minutes respectively. Difference was statistically significant. Conclusion: Results of our study reveal that there was no difference in both drugs regarding sedation and extubation time, both drugs are safe, effective and useful in patients of coronary artery bypass graft surgery. Keywords: Coronary artery bypass graft, Midazolam, Propofol, Extubation, Sedation.

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Dexmedetomidine and Propofol Sedation in Critically Ill Patients and Dose-associated 90-Day Mortality: A Secondary Cohort Analysis of a Randomized Controlled Trial (SPICE III)

Shehabi

Neto

Bellomo

et al. 2023

Am J Respir Crit Care Med

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Analgosedation and delirium in intensive care units in Brazil: current status. ASDUTI study

Cited by 4 publications

References 5 publications

Sedation, analgesia, and delirium management in Portugal: a survey and point prevalence study

Sedation, analgesia, and delirium management in Portugal: a survey and point prevalence study

Propofol or Midazolam for Sedation and Early Extubation Following Coronary Artery Bypass Graft Surgery

Dexmedetomidine and Propofol Sedation in Critically Ill Patients and Dose-associated 90-Day Mortality: A Secondary Cohort Analysis of a Randomized Controlled Trial (SPICE III)

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