Conscious Sedation and Deep Sedation, Including Neuromuscular Blockade
Conscious sedation and deep sedation of intensive care unit (ICU) patients requiring procedures is both common and necessary. Guidelines exist for the sustained use of sedatives, analgesics, and paralytics 1,2 but not for their procedural use. Anecdotal experience serves as the basis for using analgesia when a critically ill patient undergoes bronchoscopy and to not do so when that same patient gets endotracheally suctioned. Few investigations have questioned the historically firm notion that some procedures require sedation and others do not.
KeywordsIntensive Care Unit Intensive Care Unit Patient Histamine Release Malignant Hyperthermia Deep Sedation
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