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Benzodiazepine sedation in critically ill patients.

M H Doherty

    AACN Clinical Issues in Critical Care Nursing
    |November 1, 1991
    PubMed
    Summary

    Agitation in critically ill patients requires prompt nursing assessment and intervention. Effective management, including the use of benzodiazepines, can improve patient recovery and prevent complications.

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    Area of Science:

    • Critical Care Medicine
    • Nursing Science

    Background:

    • Agitation is a frequent and complex issue in critically ill patients.
    • It can negatively impact patient outcomes, prolong hospital stays, and hinder treatment efficacy.

    Observation:

    • Agitation presents as motor restlessness with diverse potential causes: physiologic, psychologic, environmental, and pharmacologic.
    • Nurses utilize systematic assessment tools, such as agitation algorithms and sedation scales, to identify triggers.
    • Early and accurate assessment is crucial for effective intervention.

    Findings:

    • Astute nursing assessment and timely intervention are key to preventing and managing agitation.
    • Benzodiazepines are identified as an effective pharmacologic treatment for agitation in this population.
    • Knowledge of benzodiazepine actions and effects enables optimal drug selection and administration.

    Implications:

    • Improved patient outcomes through proactive agitation management in intensive care settings.
    • Enhanced nursing practice through the application of evidence-based assessment tools and pharmacologic strategies.
    • Potential for reduced healthcare costs associated with prolonged illness and treatment complications.

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