Evidence-Based Guideline for Adult Sedation, Pain Assessment, and Analgesia in a Low Resource Setting Intensive Care Unit: Review Article.
Derartu NemeZemedu AwekeHaileleul MichoSimeneh MolaBedru Jemal AbafitaTeshome RegasaPublished in: International journal of general medicine (2020)
In addition to high validity and reliability, RASS has the advantage of easiness to remember for nurses making it a preferred sedation assessment tool in an adult ICU setting. Light sedation with daily interruption was recommended with an aim of an awake and alert patient ready for the weaning trial. Propofol was preferred when sedation is for a short duration and when intermittent awakening is required. Ketamine is the preferred induction for asthmatic hypotensive and patient requiring prolonged continuous sedation. With a similar time for sedation, diazepam shows a shorter time for intubation compared to midazolam. Besides diazepam has shown a cheaper cost of sedation than midazolam. This makes it a drug of preference in a low resource setting.
Keyphrases
- mechanical ventilation
- intensive care unit
- acute respiratory distress syndrome
- pain management
- case report
- healthcare
- cardiac arrest
- randomized controlled trial
- mental health
- chronic obstructive pulmonary disease
- extracorporeal membrane oxygenation
- neuropathic pain
- ultrasound guided
- high intensity
- deep brain stimulation
- lung function
- placebo controlled