Monitoring Sedation Status Over Time in ICU Patients

Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS).

CONTEXT Goal-directed delivery of sedative and analgesic medications is recommended as standard care in intensive care units (ICUs) because of the impact these medications have on ventilator weaning and ICU length of stay, but few of the available sedation scales have been appropriately tested for reliability and validity. OBJECTIVE To test the reliability and validity of the Richmond Agitati...

CARING FOR THE CRITICALLY ILL PATIENT Monitoring Sedation Status Over Time in ICU Patients Reliability and Validity of the Richmond Agitation-Sedation Scale (RASS)

INCREASED SCRUTINY HAS RECENTLY been placed on appropriate titration of sedative and analgesic medications in critically ill patients, especially those being treated with mechanical ventilation. Patient comfort should be a primary goal in the intensive care unit (ICU), including adequate pain control, anxiolysis, and prevention and treatment of delirium. However, achieving an appropriate balanc...

Dexmedetomidine sedation in ICU

Dexmedetomidine (DEX), a highly selective α(2)-adrenergic receptor agonist, is the newest agent introduced for sedation in intensive care unit (ICU). The sedation strategy for critically ill patients has stressed light sedation with daily awakening and assessment for neurologic, cognitive, and respiratory functions, since Society of Critical Care Medicine (SCCM) guidelines were presented in 200...

Intelligent Control of Closed-Loop Sedation in Simulated ICU Patients

The intensive care unit is a challenging environment to both patient and caregiver. Continued shortages in staffing, principally in nursing, increase risk to patient and healthcare workers. To evaluate the use of intelligent systems in the improvement of patient care, an agent was developed to regulate ICU patient sedation. A temporal differencing form of reinforcement learning was used to trai...

A new era for sedation in ICU patients.