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Avoidance of Deep Sedation

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Reducing Mortality in Critically Ill Patients

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Abstract

In spite of advances in support of all organ functions over the last decades, cognitive aspects of intensive care unit admission rarely take the central light. It is a common belief that patients admitted to the ICU are completely asleep at all times, but that does not correspond to truth. In fact, a large and growing body of evidence has shown that sedation is harmful, increasing the risk of infection, delirium, and death, and prolonging the time on mechanical ventilation in the ICU and hospital [1–3]. Modern approach to intensive care aims to a comprehensive approach to the patient well-being, including aspects related to pain, agitation/sedation, delirium, immobility, and sleep disruption [4].

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Authors and Affiliations

  1. Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy

    Pasquale Nardelli, Stefano Fresilli & Marta Mucchetti

Authors
  1. Pasquale Nardelli
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  2. Stefano Fresilli
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  3. Marta Mucchetti
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Corresponding author

Correspondence to Pasquale Nardelli .

Editor information

Editors and Affiliations

  1. Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute and Vita-Salute San Raffaele University, Milan, Italy

    Giovanni Landoni

  2. Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy

    Martina Baiardo Redaelli

  3. Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy

    Chiara Sartini

  4. Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute and Vita-Salute San Raffaele University, Milan, Italy

    Alberto Zangrillo

  5. Department of Intensive Care, Austin Hospital, Heidelberg, VIC, Australia

    Rinaldo Bellomo

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Nardelli, P., Fresilli, S., Mucchetti, M. (2021). Avoidance of Deep Sedation. In: Landoni, G., Baiardo Redaelli, M., Sartini, C., Zangrillo, A., Bellomo, R. (eds) Reducing Mortality in Critically Ill Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-71917-3_9

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  • DOI: https://doi.org/10.1007/978-3-030-71917-3_9

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  • Online ISBN: 978-3-030-71917-3

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