Critical Care Scenarios
Lightning rounds 37: Weaning the deliriosedated patient (SCCM roundup)
Feb 14, 2024
Experts in critical care and patient sedation discuss strategies for rescuing deliriosedated patients at SCCM’s Critical Care Congress. Topics include weaning off sedation, patient positioning, pharmacological management, involving family members, and addressing underlying causes of confusion to aid in patient recovery.
09:13
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Quick takeaways
- Addressing root causes of delirium and regulating sleep-wake cycles are crucial for managing deliriosedated patients.
- Human connection and patient-centered care are essential in ICU settings to improve patient outcomes and aid in patient recovery.
Deep dives
Strategies for Dealing with Agitated, Sedated Patients in the ICU
When faced with an intubated patient heavily sedated due to agitation and confusion leading to a challenging situation during weaning, several strategies were discussed by critical care colleagues. Techniques such as reorienting the patient, involving family for reintegration, ensuring good pain control without over-sedating, and engaging the patient in activities to prevent further delirium were highlighted. Moreover, involving family members early, addressing root causes of delirium, regulating sleep-wake cycles, and creating a more patient-oriented environment were identified as crucial elements in managing patients in such situations.
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