Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

9.1K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
9.1K
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

2.8K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.8K
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

4.5K
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
4.5K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

613
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
613
Stages of General Anesthesia01:22

Stages of General Anesthesia

1.8K
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...
1.8K
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

2.6K
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
2.6K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Extracorporeal Membrane Oxygenation in Pediatric Pulmonary Hypertension: A Single-Center Cohort to Inform Decision-Making.

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2026
Same author

Use of supraglottic airways in neonates and infants less than 2 months old and role in difficult mask ventilation. Response to Br J Anaesth 2026, doi: 10.1016/j.bja.2026.02.051.

British journal of anaesthesia·2026
Same author

Insights from the LysoNeo prospective cohort study to improve newborn screening of lysosomal diseases.

Communications medicine·2026
Same author

Respiratory-physiology modeling of therapeutic hydrogen inhalation: defining the fraction of inspired hydrogen (FiH<sub>2</sub>) and flow-rate requirements.

Respiratory research·2026
Same author

Mitochondrial hyperoxidation contributes to warm ischemia-reperfusion injury in rat and pig livers.

Communications medicine·2026
Same author

Exploring a plasma proteomic biosignature associated with cardiac involvement in Fabry disease.

Journal of molecular medicine (Berlin, Germany)·2026

Related Experiment Video

Updated: Feb 17, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

4.9K

Adherence to Sedation Protocol Recommendations in Intubated ICU Patients.

Taylor M Smith1,2, Caroline Pane1, Soseh Hovasapian1

  • 1Department of Cardiology, Boston Children's Hospital, Boston, MA.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|February 16, 2026
PubMed
Summary

Pediatric intensive care unit (PICU) sedation practices often deviate from established protocols, with frequent missed opportunities for medication titration. Improving adherence to sedation protocols is crucial for minimizing risks associated with prolonged sedation in critically ill children.

Keywords:
deliriummechanical ventilationprotocolsedationwithdrawal

More Related Videos

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

2.5K
Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
09:36

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

Published on: September 24, 2020

3.2K

Related Experiment Videos

Last Updated: Feb 17, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

4.9K
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

2.5K
Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
09:36

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

Published on: September 24, 2020

3.2K

Area of Science:

  • Pediatric Critical Care Medicine
  • Pharmacology
  • Quality Improvement Science

Background:

  • Sedation in critically ill children presents challenges, with both under- and oversedation having negative consequences.
  • Standardized sedation protocols aim to reduce variability, minimize drug exposure, and improve patient outcomes.
  • Protocol adherence in pediatric intensive care units (PICUs) is not well understood.

Purpose of the Study:

  • To quantify the adherence to sedation protocols in critically ill children.
  • To assess the alignment between sedation protocols and actual infusion titration practices in a large single-center cohort.

Main Methods:

  • Retrospective cohort study conducted in three PICUs of a tertiary care children's hospital.
  • Included patients receiving mechanical ventilation for >24 hours and at least one sedative infusion between 2011 and 2023.
  • Adherence to five key metrics of sedation protocol titration was calculated.

Main Results:

  • Analysis of 8,108 patients and 9,670 encounters revealed consistently low protocol adherence across all PICUs.
  • Infusions were rarely increased when indicated (92.5% missed) and often not decreased when recommended (95.5% missed).
  • Premature dose increases occurred in 54.7% of opportunities, and only 16.2% of short-duration infusions were discontinued as recommended.

Conclusions:

  • Sedation titration in PICUs frequently deviates from protocol recommendations, resulting in missed opportunities for active management.
  • Improving adherence to sedation protocols is a critical target for quality improvement to mitigate risks of prolonged sedation.
  • Future research should identify barriers to adherence and develop interventions, such as clinical decision support tools, to enhance compliance.