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AACN Advanced Critical Care:
doi: 10.1097/01.AACN.0000340723.80280.ff
Symposium Ventilation

Sedation Management in the Mechanically Ventilated Critically Ill Patient

Fuchs, Eunice M. RN, MS, ACNP, CCNS, CCRN; Von Rueden, Kathryn RN, MS, FCCM

Section Editor(s): Pierce, Lynelle N.B. Symposium Editor

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Abstract

Sedation management in the mechanically ventilated critically ill patient is a topic of continuing interest in the critical care literature. The wide variety of clinical practices described in the literature with regard to sedation management has limited the implementation of evidence-based practice guidelines. Common themes for a coherent sedation management strategy include articulation of indications for sedation, initial and daily evaluation of sedation goals, sedation-level assessment, appropriate sedative selection, effective sedation management strategy, and efficient sedation weaning strategy. We provide a summary of the literature on key aspects of sedation in clinical practice. Evidence-based recommendations are provided for clinicians involved in the management of sedation in mechanically ventilated patients.

© 2008 American Association of Critical–Care Nurses

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