Disadvantages of sedating neurologic patient
Pain, anxiety, and delirium form a triad of factors that can lead to agitation.
Achieving and maintaining an optimal level of comfort and safety in the intensive care unit plays an essential part in caring for critically ill patients.
Sedation has become an inseparable part of critical care practice in minimizing patient discomfort and agitation; however, sedatives can have adverse effects that prolong mechanical ventilation and ICU stay.
ROLES DURING RSI The airway team should be a minimum of 3 people: In the event of a failed airway, another person may take on the role of the airway proceduralist and role re-allocation must be clearly communicated to the team.
Sedation has become an important part of critical care practice in minimizing patient discomfort and agitation during mechanical ventilation.
airway burn, penetrating neck injury) prolonged transfer combativeness humane reasons (e.g.major trauma requiring multiple interventions) cervical spine injury (diaphragmatic paralysis) Some add a 10th P for (cricoid) pressure after pretreatment but this procedure is optional and has many drawbacks (see Cricoid Pressure) Ideally, minimise instrumentation and suctioning prior to intubation to avoid stimulation of the patient’s gag reflex.