Critical Care Scenarios Lightning rounds 44: Post-intubation sedation roundup
Sep 4, 2024
Nick Ione, known as Poem Toilet on X and TikTok, shares his expertise in critical care, focusing on post-intubation sedation. He discusses the complexities of sedation practices, the importance of timely interventions, and how these can vary based on patient needs. The conversation highlights the role of mobility in reducing anxiety and the innovative use of medications like midazolam and ketamine. Ione also emphasizes effective communication within healthcare teams and the influence of cultural factors on sedation strategies.
AI Snips
Chapters
Transcript
Episode notes
Post-RSI Sedation and Analgesia
- Start propofol and fentanyl immediately after securing an airway.
- Utilize pre-built order sets for efficient drug administration post-RSI.
Neurocritical Care Approach to Post-Intubation Sedation
- In neurocritical care, use propofol and fentanyl for sedation and analgesia post-intubation, especially during ICP crises.
- Be mindful of propofol's hemodynamic effects and have a pressor ready.
Awake and Walking ICU Approach
- Prioritize awake and mobile intubated patients to prevent delirium and ICU-acquired weakness.
- Prepare patients and families pre-intubation about the process and expectations of remaining awake.