Related Experiment Video
Updated: Jul 13, 2026
07:16
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Changing sedation practices in the intensive care unit--protocol implementation, multifaceted multidisciplinary
Yaseen Arabi1, Samir Haddad, Rebecca Hawes
1Intensive Care Department, King Abdulaziz Medical City, King Saud Bin Abdulaziz University, Riyadh, 11426, Saudi Arabia. yaseenarabi@yahoo.com
Middle East Journal of Anaesthesiology
|August 10, 2007
Summary
A multidisciplinary approach significantly improved intensive care unit (ICU) sedation practices. This strategy, combining education and protocols, reduced sedative use, ventilator-associated pneumonia, and length of stay.
Area of Science:
- Critical Care Medicine
- Quality Improvement Initiatives
- Patient Sedation Management
Background:
- Sedation protocols enhance ICU sedation practices.
- The impact of multidisciplinary approaches on protocol success requires further examination.
Purpose of the Study:
- To evaluate the effectiveness of a multifaceted, multidisciplinary approach to sedation and analgesia in the ICU.
- To assess the impact of this approach on sedation practices and patient outcomes.
Main Methods:
- Prospective, observational study in a tertiary care medical-surgical ICU.
- Compared protocolized vs. non-protocolized care using the Riker Sedation-Agitation Scale (SAS).
- Implemented a multidisciplinary educational program with reminders and expert support.
Main Results:
- Higher SAS scores (lighter sedation) observed in protocol groups after ICU day 3.
- Significant reductions in analgesic and sedative use in the protocol group.
- Reduced ventilator-associated pneumonia (VAP) rates and trends toward shorter mechanical ventilation and ICU length of stay (LOS).
Conclusions:
- A multifaceted, multidisciplinary approach is critical for successful ICU sedation protocols.
- This strategy leads to significant improvements in sedation practices and patient outcomes.
- Key components include education, reminders, and expert involvement.
Related Concept Videos
01:26Acute Coronary Syndrome V: Nursing Management
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
01:28Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
01:22Stages of General Anesthesia
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:30Ethical Dilemmas II
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
01:18Interdisciplinary Care: The Health Care Team-II
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...