Analgesia and sedation in the critically ill patient on mechanical ventilation: the ABCDEF bundle in the COVID-19 pandemic
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Published:
Apr 18, 2020
Keywords:
COVID-19, sedation, analgesia, delirium
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Abstract
The comprehensive approach to the critical patient has evolved by leaps and bounds in the last 20 years. From the “creation” of intensive care units (ICUs) in the 1950s, in the midst of the polio epidemic, until the 2000s, when evidence began to emerge that survivors of critical illness did so with a high burden of sequelae, many of which were preventable.
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How to Cite
1.
Carini F. Analgesia and sedation in the critically ill patient on mechanical ventilation: the ABCDEF bundle in the COVID-19 pandemic. Rev Arg de Ter Int. [Internet]. 2020 Apr. 18 [cited 2024 Nov. 22];:47-53. Available from: https://revista.sati.org.ar/index.php/MI/article/view/696
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Revisiones Científicas de Comité
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References
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Iwashyna TJ. Survivorship will be the defining challenge of critical care in the 21st century. Ann Intern Med [Internet]. 2010 Aug 3 [cited 2019 Oct 5];153(3):204–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20679565
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 [Internet]. 2000 May 18 [cited 2012 Jul 22];342(20):1471–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10816184
Tobar E, Romero C, Galleguillos T, Fuentes P, Cornejo R, Lira MT, et al.Confusion Assessment Method for diagnosing delirium in ICU patients (CAM-ICU): cultural adaptation and validation of the Spanish version. Med Intensiva [Internet]. 2010 [cited 2012 Mar 29];34(1):4–13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19819041
Vincent J-L, Shehabi Y, Walsh TS, Pandharipande PP, Ball JA, Spronk P, et al. Comfort and patient-centred care without excessive sedation: the eCASH concept. Intensive Care Med [Internet]. 2016 Jun 13 [cited 2017 Apr 12];42(6):962–71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27075762
Ely EW. The ABCDEF bundle: Science and philosophy of how ICU liberation serves patients and families. Crit Care
Med. 2017 Feb 1;45(2):321–30.
Pun BT, Balas MC, Barnes-Daly MA, Thompson JL, Aldrich JM, Barr J, et al. Caring for Critically Ill Patients with the ABCDEF Bundle: Results of the ICU Liberation Collaborative in Over 15,000 Adults. Crit Care Med [Internet]. 2019 Jan [cited 2019 Sep 26];47(1):3–14. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30339549
Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJC, Pandharipande PP, 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 [Internet]. 2018 Sep [cited 2018 Oct 15];46(9):e825–73. Available from: http://insights.ovid.com/crossref?an=00003246-201809000-00029
Rello J, Tejada S, Userovici C, Arvaniti K, Pugin J, Waterer G. Coronavirus Disease 2019 (COVID-19): A critical care perspective beyond China. Anaesthesia Critical Care and Pain Medicine. Elsevier Masson SAS; 2020.
COVID-19 Pandemic: Lessons from Italy - HealthManagement.org [Internet]. [cited 2020 Apr 9]. Available from: https://healthmanagement.org/c/icu/news/covid-19-pandemic-lessons-from-italy
Devlin JW, Roberts RJ. Pharmacology of commonly used analgesics and sedatives in the ICU: Benzodiazepines, propofol, and opioids. Vol. 29, Anesthesiology Clinics. 2011. p. 567–85.
Celis-Rodríguez E, Birchenall C, de la Cal MA, Castorena Arellano G, Hernández A, Ceraso D, et al. Guía de práctica clínica basada en la evidencia para el manejo de la sedoanalgesia en el paciente adulto críticamente enfermo. Med Intensiva. 2013 Nov 1;37(8):519–74.
Barr J, Fraser GL, Puntillo K, Ely EW, Gélinas C, Dasta JF, et al. Clinical Practice Guidelines for the Management
of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit. Crit Care Med [Internet]. 2013 Jan
[cited 2013 Jan 29];41(1):263–306. Available from: http:// www.ncbi.nlm.nih.gov/pubmed/23269131
Gommers D, Bakker J. Medications for analgesia and sedation in the intensive care unit: an overview. Crit Care.
2008;12(Suppl 3):S4.
Celis-Rodríguez E, Díaz Cortés JC, Cárdenas Bolívar YR, Carrizosa González JA, Pinilla DI, Ferrer Záccaro LE, et al. Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients. Med Intensiva. 2020; 44(3):171–84.
Barr J, Egan TD, Sandoval NF, Zomorodi K, Cohane C, Gambus PL, et al. Propofol dosing regimens for ICU sedation based upon an integrated pharmacokinetic - Pharmacodynamic model. Anesthesiology. 2001;95(2):324–33.
Devlin JW, Mallow-Corbett S, Riker RR. Adverse Drug events associated with the use of analgesics, sedatives, and antipsychotics in the intensive care unit. Crit Care Med [Internet]. 2010 Jun [cited 2020 Apr 10];38(6 SUPPL.):S231-43. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20502176
Kam PCA, Cardone D. Propofol infusion syndrome. Anaesthesia [Internet]. 2007 Jul 1 [cited 2020 Apr 10];62(7):690–
701. Available from: http://doi.wiley.com/10.1111/j.1365- 2044.2007.05055.x
Murray MJ, Deblock H, Erstad B, Gray A, Jacobi J, Jordan C, et al. Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient. Vol. Critical Care Medicine. Lippincott Williams and Wilkins; 2016. p. 2079–103.
Greenberg SB, Vender J. The use of neuromuscular blocking agents in the ICU: Where are we now? Vol. 41, Critical Care
Medicine. 2013. p. 1332–44.
Manzardo C, Tuset M, Miró JM, Gatell JM. Severe or life-threatening interactions between antiretrovirals and non-HIV drugs. Vol. 33, Enfermedades Infecciosas y Microbiologia Clinica Monografias. Ediciones Doyma, S.L.; 2015. p. e15–30.