Optimizing sedation in the ICU: the eCASH concept

Optimizing sedation in the ICU: the eCASH concept

Deep sedation is known to be associated with poor long-term outcomes in critically ill patients, including cognitive and psychological complications and increased mortality. Yet many patients still receive high levels of sedation, particularly during the early days of their intensive care unit (ICU) stay. The eCASH (early Comfort using Analgesia, minimal Sedatives and maximal Humane care) conce...

the relationship between academic self-concept and academic achievement in english and general subjects of the students of high school

according to research, academic self-concept and academic achievement are mutually interdependent. in the present study, the aim was to determine the relationship between the academic self-concept and the academic achievement of students in english as a foreign language and general subjects. the participants were 320 students studying in 4th grade of high school in three cities of noor, nowshah...

Sedation in the ICU: Shifts and Strategies

Sedation and neuromuscular blockade in the ICU.

A the key innovations of critical care medicine is treatment directed by continuously measured objective physiologic data. A prime example is the dosing of vasopressors using continuous measurements of systemic arterial pressure acquired from an indwelling arterial catheter. Similarly, the settings of mechanical ventilators are based on pressure and volume measurements of airway gases and arter...

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...