Top 10 myths regarding sedation and delirium in the ICU

Gregory J. Peitz, Michele C. Balas, Keith M. Olsen, Brenda T. Pun, E. Wesley Ely

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

The management of pain, agitation, and delirium in critically ill patients can be complicated by multiple factors. Decisions to administer opioids, sedatives, and antipsychotic medications are frequently driven by a desire to facilitate patients' comfort and their tolerance of invasive procedures or other interventions within the ICU. Despite accumulating evidence supporting new strategies to optimize pain, sedation, and delirium practices in the ICU, many critical care practitioners continue to embrace false perceptions regarding appropriate management in these critically ill patients. This article explores these perceptions in more detail and offers new evidence-based strategies to help critical care practitioners better manage sedation and delirium, particularly in ICU patients.

Original languageEnglish (US)
Pages (from-to)S46-S56
JournalCritical care medicine
Volume41
Issue number9 SUPPL.1
DOIs
StatePublished - 2013

Keywords

  • agitation
  • analgesia
  • critical care medicine
  • delirium
  • evidence-based
  • myth
  • pain
  • sedation

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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    Peitz, G. J., Balas, M. C., Olsen, K. M., Pun, B. T., & Wesley Ely, E. (2013). Top 10 myths regarding sedation and delirium in the ICU. Critical care medicine, 41(9 SUPPL.1), S46-S56. https://doi.org/10.1097/CCM.0b013e3182a168f5