Tools Are Needed to Promote Sedation Practices for Mechanically Ventilated Patients

Suboptimal sedation practices continue to be frequent, although the updated guidelines for management of pain, agitation, and delirium in mechanically ventilated (MV) patients have been published for several years. Causes of low adherence to the recommended minimal sedation protocol are multifactori...

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Autores principales:	Tao Wang, Dongxu Zhou, Zhongheng Zhang, Penglin Ma
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	mechanical ventilation suboptimal sedation patient tolerability assessment tools sedation depth Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e9e5f72eecfe4ab4aa278d1c3de044e5
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spelling	oai:doaj.org-article:e9e5f72eecfe4ab4aa278d1c3de044e52021-11-12T04:53:22ZTools Are Needed to Promote Sedation Practices for Mechanically Ventilated Patients2296-858X10.3389/fmed.2021.744297https://doaj.org/article/e9e5f72eecfe4ab4aa278d1c3de044e52021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.744297/fullhttps://doaj.org/toc/2296-858XSuboptimal sedation practices continue to be frequent, although the updated guidelines for management of pain, agitation, and delirium in mechanically ventilated (MV) patients have been published for several years. Causes of low adherence to the recommended minimal sedation protocol are multifactorial. However, the barriers to translation of these protocols into standard care for MV patients have yet to be analyzed. In our view, it is necessary to develop fresh insights into the interaction between the patients' responses to nociceptive stimuli and individualized regulation of patients' tolerance when using analgesics and sedatives. By better understanding this interaction, development of novel tools to assess patient pain tolerance and to define and predict oversedation or delirium may promote better sedation practices in the future.Tao WangDongxu ZhouZhongheng ZhangPenglin MaFrontiers Media S.A.articlemechanical ventilationsuboptimal sedationpatient tolerabilityassessment toolssedation depthMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mechanical ventilation suboptimal sedation patient tolerability assessment tools sedation depth Medicine (General) R5-920
spellingShingle	mechanical ventilation suboptimal sedation patient tolerability assessment tools sedation depth Medicine (General) R5-920 Tao Wang Dongxu Zhou Zhongheng Zhang Penglin Ma Tools Are Needed to Promote Sedation Practices for Mechanically Ventilated Patients
description	Suboptimal sedation practices continue to be frequent, although the updated guidelines for management of pain, agitation, and delirium in mechanically ventilated (MV) patients have been published for several years. Causes of low adherence to the recommended minimal sedation protocol are multifactorial. However, the barriers to translation of these protocols into standard care for MV patients have yet to be analyzed. In our view, it is necessary to develop fresh insights into the interaction between the patients' responses to nociceptive stimuli and individualized regulation of patients' tolerance when using analgesics and sedatives. By better understanding this interaction, development of novel tools to assess patient pain tolerance and to define and predict oversedation or delirium may promote better sedation practices in the future.
format	article
author	Tao Wang Dongxu Zhou Zhongheng Zhang Penglin Ma
author_facet	Tao Wang Dongxu Zhou Zhongheng Zhang Penglin Ma
author_sort	Tao Wang
title	Tools Are Needed to Promote Sedation Practices for Mechanically Ventilated Patients
title_short	Tools Are Needed to Promote Sedation Practices for Mechanically Ventilated Patients
title_full	Tools Are Needed to Promote Sedation Practices for Mechanically Ventilated Patients
title_fullStr	Tools Are Needed to Promote Sedation Practices for Mechanically Ventilated Patients
title_full_unstemmed	Tools Are Needed to Promote Sedation Practices for Mechanically Ventilated Patients
title_sort	tools are needed to promote sedation practices for mechanically ventilated patients
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/e9e5f72eecfe4ab4aa278d1c3de044e5
work_keys_str_mv	AT taowang toolsareneededtopromotesedationpracticesformechanicallyventilatedpatients AT dongxuzhou toolsareneededtopromotesedationpracticesformechanicallyventilatedpatients AT zhonghengzhang toolsareneededtopromotesedationpracticesformechanicallyventilatedpatients AT penglinma toolsareneededtopromotesedationpracticesformechanicallyventilatedpatients
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Tools Are Needed to Promote Sedation Practices for Mechanically Ventilated Patients

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