Psychomotor Agitation in Critically Ill Patients and the Role of Sedation

Critically ill patients often receive analgesia and sedation to keep them comfortable and to prevent agitation and delirium, which are serious, common and yet frequently underdiagnosed forms of brain dysfunction in intensive care environment with unclear but often unfavorable contribution to patient...

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Main Authors: M. Fedarau, F. Compolo, P. J. Papadakos
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2012-12-01
Series:Общая реаниматология
Online Access:https://www.reanimatology.com/rmt/article/view/180
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author M. Fedarau
F. Compolo
P. J. Papadakos
author_facet M. Fedarau
F. Compolo
P. J. Papadakos
author_sort M. Fedarau
collection DOAJ
description Critically ill patients often receive analgesia and sedation to keep them comfortable and to prevent agitation and delirium, which are serious, common and yet frequently underdiagnosed forms of brain dysfunction in intensive care environment with unclear but often unfavorable contribution to patient outcomes. Apart from delirium assessment and screening the most important aspect of ICU management is understanding the drugs given to patients and their specific advantages and disadvantages. It is crucial for clinicians and units to develop guidelines and protocols for the administration of sedatives depending on the type of patient population. Newer drugs, such as dexmedetomidine and remifentanyl, should be introduced and extensively studied. The immunomodulating effects of sedation also must be explored, as these properties may greatly affect outcome. With an increased understanding of sedative drugs will come an improved ability to use multiple drugs at specific times during the course of hospital treatment. Key words: delirium, sedation, analgesia.
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spelling doaj-art-df1f95ebacd54e43b7d9e3b44bd583292025-08-20T03:18:50ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102012-12-018610.15360/1813-9779-2012-6-62180Psychomotor Agitation in Critically Ill Patients and the Role of SedationM. FedarauF. CompoloP. J. PapadakosCritically ill patients often receive analgesia and sedation to keep them comfortable and to prevent agitation and delirium, which are serious, common and yet frequently underdiagnosed forms of brain dysfunction in intensive care environment with unclear but often unfavorable contribution to patient outcomes. Apart from delirium assessment and screening the most important aspect of ICU management is understanding the drugs given to patients and their specific advantages and disadvantages. It is crucial for clinicians and units to develop guidelines and protocols for the administration of sedatives depending on the type of patient population. Newer drugs, such as dexmedetomidine and remifentanyl, should be introduced and extensively studied. The immunomodulating effects of sedation also must be explored, as these properties may greatly affect outcome. With an increased understanding of sedative drugs will come an improved ability to use multiple drugs at specific times during the course of hospital treatment. Key words: delirium, sedation, analgesia.https://www.reanimatology.com/rmt/article/view/180
spellingShingle M. Fedarau
F. Compolo
P. J. Papadakos
Psychomotor Agitation in Critically Ill Patients and the Role of Sedation
Общая реаниматология
title Psychomotor Agitation in Critically Ill Patients and the Role of Sedation
title_full Psychomotor Agitation in Critically Ill Patients and the Role of Sedation
title_fullStr Psychomotor Agitation in Critically Ill Patients and the Role of Sedation
title_full_unstemmed Psychomotor Agitation in Critically Ill Patients and the Role of Sedation
title_short Psychomotor Agitation in Critically Ill Patients and the Role of Sedation
title_sort psychomotor agitation in critically ill patients and the role of sedation
url https://www.reanimatology.com/rmt/article/view/180
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