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Guidelines for inhaled sedation in the ICU.
F García-Montoto1, D Paz-Martín2, D Pestaña3
1UCI de Anestesia, Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Cáceres, Cáceres, Spain.
Revista Espanola De Anestesiologia Y Reanimacion
|February 3, 2024
Summary
Inhaled sedation is a viable option for intensive care unit (ICU) patients requiring mechanical ventilation or other interventions. Further research is needed to fully understand its clinical impact and optimize its use in critical care settings.
Area of Science:
- Critical Care Medicine
- Anesthesiology
Background:
- Sedation is essential in intensive care units (ICUs) for patient comfort and tolerance during mechanical ventilation and invasive procedures.
- The use of inhaled anesthetics for sedation in ICUs has seen a recent increase.
Purpose of the Study:
- To synthesize the best available evidence on inhaled sedation in adult ICU patients.
- To guide physicians in selecting optimal sedation strategies based on clinical outcomes and risk-benefit profiles.
Main Methods:
- A Delphi method was employed to achieve consensus among 17 expert panellists.
- The study was conducted over 12 months (2022-2023) following CREDES guidelines.
- The process resulted in 39 consensus-based recommendations.
Main Results:
- 23 recommendations achieved strong consensus, while 15 reached weak consensus.
- Inhaled sedation is considered a reliable option across diverse clinical scenarios in the ICU.
Conclusions:
- Inhaled sedation presents a reliable and appropriate choice for various ICU situations.
- Further research is necessary to address numerous aspects of inhaled sedation techniques and their application.
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