The Intern At Work: Internal Medicine cover image

The Intern At Work: Internal Medicine

101. Biting the Bullet - Sedation in the ICU

Aug 8, 2021
Exploring the history and principles of sedation in the ICU, including terminology and measurement methods. Discussing sedation protocols, common sedative agents, and associated risks. Exploring sedation practices, utilization of Acetamine for patient transport, and shift towards lighter sedation objectives. Emphasizing the need to assess outcomes like self-extubation and PTSD in survivors.
16:36

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Quick takeaways

  • Prioritize analgesia before sedatives in critical care sedation.
  • Different sedative agents have specific effects and applications, requiring careful consideration for patient care.

Deep dives

Evolution of Anesthesia and Impact on Medicine

The utilization of sulfuric aether for anesthesia by William T.G. Morton in 1846 marked a significant shift in surgical practices, transitioning from limited options like opioids and alcohol to modern anesthesia. This advancement led to the development of laryngoscopy, atray gill tubes, and further medical innovations, making previously intolerable medical procedures more manageable.

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