Effects of daily sedation interruption in intensive care unit patients undergoing mechanical ventilation: A meta-analysis of randomized controlled trials.
Ting-Jhen ChenYi-Wei ChungPin-Yuan ChenSophia H HuChuen-Chau ChangShu-Hua HsiehBo-Cyuan WangHsiao-Yean ChiuPublished in: International journal of nursing practice (2021)
What is already known about this topic? Daily sedation interruption has been associated with reductions in excessive sedation and excessive use of sedative agents. The findings on the effects of daily sedation interruption on the mechanical ventilation duration have been inconsistent. What this paper adds? Daily sedation interruption could effectively reduce the mechanical ventilation duration, intensive care unit stay length, sedation duration, and tracheostomy and ventilator-associated pneumonia risks in intensive care unit patients. Applying daily sedation interruption to patients with high disease severity yielded a larger reduction in the mechanical ventilation duration. The implications of this paper: There is a need to adopt daily sedation interruption as routine care to reduce the mechanical ventilation duration, especially in higher disease severity population.
Keyphrases
- mechanical ventilation
- intensive care unit
- acute respiratory distress syndrome
- respiratory failure
- physical activity
- patients undergoing
- healthcare
- ejection fraction
- systematic review
- body mass index
- risk assessment
- prognostic factors
- climate change
- patient reported outcomes
- quality improvement
- human health
- chronic pain
- affordable care act
- health insurance