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Updated: Sep 3, 2025

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
Inhaled sedation in the intensive care unit.
Matthieu Jabaudon1, Ruoyang Zhai2, Raiko Blondonnet1
1Department of Perioperative Medicine, CHU Clermont-Ferrand, Clermont-Ferrand, France; GReD, Université Clermont Auvergne, CNRS, INSERM, Clermont-Ferrand, France.
Inhaled sedation using isoflurane or sevoflurane is now possible in intensive care units (ICUs). This method offers efficient, titratable sedation and potential clinical benefits for ICU patients.
Area of Science:
- Anesthesiology and Critical Care Medicine
- Pharmacology
Background:
- Inhaled sedation with halogenated agents is now feasible in intensive care units (ICUs).
- Requires specialized equipment and trained intensive care unit (ICU) teams.
- Isoflurane and sevoflurane possess ideal pharmacological properties for sedation.
Purpose of the Study:
- To summarize the pharmacological basis and practical aspects of inhaled ICU sedation.
- To review evidence supporting inhaled sedation as an alternative to intravenous sedation.
- To discuss uncertainties and future perspectives in inhaled sedation.
Main Methods:
- Review of pharmacological properties of isoflurane and sevoflurane.
- Analysis of existing literature on inhaled sedation in ICUs.
- Discussion of clinical benefits and practical considerations.
Main Results:
- Isoflurane and sevoflurane enable efficient, well-tolerated, and titratable sedation (light to deep).
- These agents may offer additional clinical benefits relevant to ICU patients.
- Inhaled sedation is presented as a viable alternative to intravenous sedation.
Conclusions:
- Inhaled sedation with halogenated agents is a practical and effective option for ICU patients.
- Further research is needed to address remaining uncertainties and explore future developments.
- This sedation strategy requires specific equipment and adequate team training.
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