Abstract
Intubation and mechanical ventilation are procedures done regularly in the emergency department and ICU. Despite the routine nature of these procedures, care must be taken to make certain post-intubation support is managed with the utmost diligence. Essential components in caring for the intubated patient include providing adequate analgesia and sedation (Wood and Winters. J Em Med 40(4):419–427, 2011). An analgesia-first-based approach, along with use of validated tools to assess pain and sedation, is recommended by The Society of Critical Care Medicine (Barr et al. Crit Care Med 41:263–306, 2013). Ensuring your patient is safe and comfortable after intubation is a vital, and often overlooked, part of the airway process.
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References
Wood S, Winters ME. Care of the intubated emergency department patient. J Em Med. 2011;40(4):419–27.
Barr J, Fraser GL, Puntillo K, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;41:263–306.
Groth CM, Acquisto NM, Khadem T. Current practices and safety of medication use during rapid sequence intubation. J Crit Care. 2018;45:65–70.
Devlin JW, Skrobik Y, Gelinas C, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med. 2018;46(9):1–49.
Lexicomp Online, Hudson, Ohio: Wolters Kluwer clinical drug information, Inc; 2019; October 12, 2019.
Erstad BL, Patanwala AE. Ketamine for Analgosedation in critically ill patients. J Crit Care. 2016;35:145–9.
Arroliga A, Shehab N, McCarthy K, Gonzales J. Relationship of continuous infusion lorazepam to serum propylene glycol concentration in critically ill adults. Crit Care Med. 2004;32(8):1709–14.
Umunna BP, Tekwani K, Kulstad E. Ketamine for continuous sedation of mechanically ventilated patients. J Emerg Trauma Shock. 2015;8(1):11–5.
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Barthol, C. (2021). Now the Tube Is In: Post-Intubation Sedation. In: Garvin, R. (eds) Intubating the Critically Ill Patient. Springer, Cham. https://doi.org/10.1007/978-3-030-56813-9_8
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DOI: https://doi.org/10.1007/978-3-030-56813-9_8
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