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Implementation Challenges in the ICU: The Why, Who and How of Daily Interruption of Sedation

Implementation Challenges in the ICU: The Why, Who and How of Daily Interruption of Sedation

Despite apparent consensus, lack of shared understanding of the rationale for an intervention may lead to divergent practice patterns and failure to implement standardized, evidence-based practice.

There was wide consensus on the importance of daily interruptions of sedation, however practitioners usually performed sedation interruption for 1 of 5 distinct reasons: minimizing the dose of sedation, performing a neurologic exam, facilitating ventilator weaning, reducing ICU length of stay, and assessing patient pain.

We conducted 5 focus groups of intensive care unit (ICU) physicians, nurses, and respiratory therapists over a two-month period to identify attitudes, barriers, and motivations to perform a daily interruption of sedation.

CriticalCare.news
September 8, 2019

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