Abstract
Sedation was first used in intensive care to allow controlled ventilation. Over the last 30 years, sedation and ventilation have become inextricably linked. Nowadays, the aim of sedation is to have a comfortable patient at all times, particularly during the interventions necessary on the intensive care unit (ICU). To this end, sedation should be monitored, and safe drugs and techniques should be used. But have the lessons of the past 30 years really been taken on board? Probably not!
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Reference
Intensive Care Med 1981; 7: 217–224
Related references
Bion JF, Ledingham IMcA. Sedation in intensive care — a postal survey. Intensive Care Med 1987; 13: 215–216.
Christensen BV, Thunedborg LP. Use of sedatives, analgesics and neuromuscular blocking agents in Danish ICUs 1996/97. Intensive Care Med 1999; 25: 186–191.
Reference
Intensive Care Med 1987; 13: 215–216
Related references
Merriman HM. The techniques used to sedate ventilated patients. Intensive Care Med 1981; 7: 217–224
Christensen BV, Thunedborg LP. Use of sedatives, analgesics and neuromuscular blocking agents in Danish ICUs 1996/97. Intensive Care Med 1999; 25: 186–191.
Reference
BMJ 1974; 2: 656–659
Related references
Kong KL, Willatts SM, Prys-Roberts C. Isoflurane compared with midazolam for sedation in the Intensive Care Unit. BMJ 1989; 298: 1277–1280.
Grounds RM, Lalor JM, Lumley J, Royston D, Morgan M. Propofol infusion for sedation in the Intensive Care Unit. BMJ 1989; 294: 399–400.
Reference
Anaesthesia 1984; 39: 973–981
Related references
Baker SP, O'Neil B, Haddon W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14: 187–196.
Ledingham IM, Watt I. Influence of sedation on mortality in critically ill multiple trauma patients. Lancet 1983; 1: 1270.
Reference
BMJ 1992; 305: 613–616
Related references
Martin PH, Murphy BVS, Petros AJ. Metabolic, biochemical and haemodynamic effects of infusion of propofol for long-term sedation of children undergoing intensive care. BJA 1997; 79: 276–279.
Hatch DJ. Propofol in paediatric intensive care. BJA 1997; 79: 274–275.
Reference
Br J Anaesth 1986; 58: 1218–1223
Related references
Osborne RJ, Joel SP, Slevin ML. Morphine intoxication in renal failure: the role of mor-phine-6-glucuronide. BMJ 1986; 292: 1548–1549.
Reference
Chest 1998; 114: 541–548
Related references
Terai T, Yukioka H, Fujimori M. Administration of epidural bupivicaine combined with epidural morphine after oesophageal surgery. Surgery 1997; 121: 359–365.
Reference
Anesthesiology 1987; 66: 729–736
Related references
McPeck B. Inference, generalizability, and a major change in Anesthetic practice. Anesthesiology 1987; 66: 723–724.
Watson A, Allen P. Influence of thoracic epidural analgesia on outcome after resection for esophageal surgery. Surgery 1997; 121: 359–365.
Blass J, Atraender S, Moerlen J. Complication-free early extubation following abdom-ino-thoracic esophagectomy. Anaesthetist 1991; 40: 315–323.
Reference
Clinical Intensive Care 1996: 7: 144–145
Related references
Jones J, Hoggart B, Withey J, Donaghue K, Ellis BW. What the patients say: a study of reactions to an intensive care unit. Intensive Care Med 1979; 5: 89–92.
Benzer H, Mutz N, Pauser G. Psychological sequelae of intensive care. Int Anesthesiol Clin 1983; 21: 169–181.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer-Verlag London Limited
About this chapter
Cite this chapter
Currer, B., Shelly, M.P. (2008). Pain relief and sedation in intensive care. In: Fink, M., Hayes, M., Soni, N. (eds) Classic Papers in Critical Care. Springer, London. https://doi.org/10.1007/978-1-84800-145-9_16
Download citation
DOI: https://doi.org/10.1007/978-1-84800-145-9_16
Publisher Name: Springer, London
Print ISBN: 978-1-84882-005-0
Online ISBN: 978-1-84800-145-9
eBook Packages: MedicineMedicine (R0)