Duration of mechanical ventilation in an adult intensive care unit after introduction of sedation and pain scales

American Journal of Critical Care

Volumn 17, Issue 4, 2008, Pages 349-356

  Williams, Teresa Ann ^a   Martin, Suzanne ^a   Leslie, Gavin ^a   Thomas, Linda ^a   Leen, Timothy ^a   Tamaliunas, Sheralee ^a   Lee, K Y ^a   Dobb, Geoffrey ^b  

^a CURTIN UNIVERSITY   (Australia)

^b UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ANALGESIA; APACHE; ARTICLE; ARTIFICIAL VENTILATION; CONSCIOUS SEDATION; FEMALE; HUMAN; INFORMATION PROCESSING; INTENSIVE CARE UNIT; LENGTH OF STAY; MALE; METHODOLOGY; MIDDLE AGED; PAIN ASSESSMENT; TIME;

ADULT; AGED; ANALGESIA; APACHE; CONSCIOUS SEDATION; DATA COLLECTION; FEMALE; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; PAIN MEASUREMENT; RESPIRATION, ARTIFICIAL; TIME FACTORS;

EID: 58149133784     PISSN: 10623264     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (32)

1. Jacobi J, Fraser GL, Coursin DB, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult [published correction appears in Crit Care Med. 2002, 30(3):7260. Crit Care Med. 2002;30(1):119-141.
2. Devlin JW, Boleski G, Mlynarek M, et al. Motor Activity Assessment Scale: a valid and reliable sedation scale for use with mechanically ventilated patients in an adult surgical intensive care unit. Crit Care Med. 1999, 27(7):1271-1275.
3. Woods JC, Mion LC, Connor JT, et al. Severe agitation among ventilated medical intensive care unit patients: frequency, characteristics and outcomes. Intensive Care Med. 2004, 30(6):1066-1072.
4. Arroliga A, Frutos-Vivar F, Hall J, et al. Use of sedatives and neuromuscular blockers in a cohort of patients receiving mechanical ventilation. Chest. 2005, 128(2):496-506.
5. Shelly M. Sedation, where are we now [editorial]? Intensive Care Med. 1999, 25(2):137-139.
6. Magarey JM. Sedation of adult critically ill ventilated patients in intensive care units: a national survey. Aust Crit Care. 1997, 10(3):90-93.
7. Bair N, Bobek MB, Hoffman-Hogg L, Mion LC, Slomka J, Arroliga AC. Introduction of sedative, analgesic, and neuromuscular blocking agent guidelines in a medical intensive care unit: physician and nurse adherence. Crit Care Med. 2000, 28(3):707-713.
8. Slomka J, Hoffman-Hogg L, Mion LC, Bair N, Bobek MB, Arroliga AC. Influence of clinicians' values and perceptions on use of clinical practice guidelines for sedation and neuromuscular blockade in patients receiving mechanical ventilation. Am J Crit Care. 2000, 9(6):412-418.
9. Mascia MF, Koch M, Medicis JJ. Pharmacoeconomic impact of rational use guidelines on the provision of analgesia, sedation, and neuromuscular blockade in critical care. Crit Care Med. 2000, 28(7):2300-2306.
10. Ely EW, Truman B, Shintani A, et al. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA. 2003, 289(22):2983-2991.
11. Park G, Coursin D, Ely EW, et al. Balancing sedation and analgesia in the critically ill [commentary]. Crit Care Clin. 2001, 17(4):1015-1027.
12. Kollef MH, Levy NT, Ahrens TS, Schaiff R, Prentice D, Sherman G. The use of continuous iv sedation is associated with prolongation of mechanical ventilation. Chest. 1998, 114(2):541-548.
13. Wheeler AP. Sedation, analgesia, and paralysis in the intensive care unit. Chest. 1993, 104(2):566-577.
14. Kress JP, Pohlman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med. 2000, 342(20):1471-1477.
15. Ostermann ME, Keenan SP, Seiferling RA, Sibbald WJ. Sedation in the intensive care unit: a systematic review. JAMA. 2000, 283(11):1451-1459.
16. Shapiro BA, Warren J, Egol AB, et al. Practice parameters for intravenous analgesia and sedation for adult patients in the intensive care unit: an executive summary. Crit Care Med. 1995, 23(9):1596-1600.
17. Young C, Knudsen N, Hilton A, Reves JG. Sedation in the intensive care unit. Crit Care Med. 2000, 28(3):854-866.
18. Australian Council on Healthcare Standards. Guidelines for Intensive Care Units. Sydney, Australia: Australian Council on Healthcare Standards, 1997.
19. Sessler CN, Gosnell MS, Grap MJ, et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 2002, 166(10):1338-1344.
20. Payen JF, Bru O, Bosson JL, et al. Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med. 2001, 29(12):2258-2263.
21. Chanques G, Jaber S, Barbotte E, et al. Impact of systematic evaluation of pain and agitation in an intensive care unit. Crit Care Med. 2006, 34(6):1691-1699.
22. Young J, Siffleet J, Nikoletti S, Shaw T. Use of a Behavioural Pain Scale to assess pain in ventilated, unconscious and/or sedated patients. Intensive Crit Care Nurs. 2006, 22(1):32-39.
23. Rothman K, Greenland S. Modern Epidemiology. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1998.
24. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985, 13(10):818-829.
25. Douglas SL, Daly BJ, Gordon N, Brennan PF. Survival and quality of life: short-term versus long-term ventilator patients. Crit Care Med. 2002, 30(12):2655-2662.
26. World Health Organization. International Classification of Impairments, Disabilities, and Handicaps: A Manual of Classification Relating to the Consequences of Disease. Geneva, Switzerland: World Health Organization, 1980.
27. Hosmer DJ, Lemeshow S. Applied Survival Analysis: Regression Modeling of Time to Event Data. New York, NY: John Wiley & Sons Inc, 1999.
28. Brook AD, Ahrens TS, Schaiff R, et al. Effect of a nursingimplemented sedation protocol on the duration of mechanical ventilation. Crit Care Med. 1999, 27(12):2609-2615.
29. US National Center for Health Statistics. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Annotated ed. Ann Arbor, MI: Commission on Professional and Hospital Activities, 1988.
30. Elliott R, McKinley S, Aitken LM, Hendrikz J. The effect of an algorithm-based sedation guideline on the duration of mechanical ventilation in an Australian intensive care unit. Intensive Care Med. 2006, 32(10):1506-1514.
31. Blackwood B, Wilson-Barnett J, Patterson CC, Trinder TJ, Lavery GG. An evaluation of protocolised weaning on the duration of mechanical ventilation. Anaesthesia. 2006, 61(11): 1079-1086.
32. Freedman NS, Gazendam J, Levan L, Pack AI, Schwab RJ. Abnormal sleep/wake cycles and the effect of environmental noise on sleep disruption in the intensive care unit. Am J Respir Crit Care Med. 2001, 163(2):451-457.