Letting the patient decide: A case report of self-administered sedation during mechanical ventilation

Breanna Hetland, Sarah Maryon Hayes, Debra Skaar, Mary Fran Tracy, Craig R. Weinert, Linda Chlan

Research output: Contribution to journalArticle

Abstract

It is common for critical care nurses to administer sedative medications to patients receiving mechanical ventilation. Although patient-controlled analgesia is frequently used in practice to promote effective selfmanagement of pain by patients, it is not known if patient-controlled sedation can be used to promote effective self-management of distressing symptoms associated with mechanical ventilation. A randomized pilot trial was conducted to evaluate whether patient self-administered sedation with dexmedetomidine is safe and acceptable for self-management of anxiety during ventilator support. This case report details the experiences of one patient enrolled in the pilot trial who was randomly assigned to the experimental dexmedetomidine intervention, completed the study protocol, and provided feedback. In a poststudy survey, the patient responded positively to the use of self-administered sedation with dexmedetomidine during ventilator support.

Original languageEnglish (US)
Pages (from-to)17-23
Number of pages7
JournalCritical Care Nurse
Volume38
Issue number1
DOIs
StatePublished - Feb 1 2018

ASJC Scopus subject areas

  • Critical Care

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