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Yearbook of Intensive Care and Emergency Medicine 2000 pp 405–413Cite as

Sedation in the Intensive Care Environment

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Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 2000))

Abstract

Over the past few decades, the concept of sedation for intensive care patients has evolved greatly and shifted in focus [1]. Previously, patients requiring controlled mechanical ventilation were deeply sedated and often received neuromuscular blockade to prevent asynchrony. With the advent of newer modes of ventilatory support, the emphasis has shifted to the relief of stress, anxiety, and pain, without the requirement for deep sedation. This change was prompted by recognition within the medical community that it was desirable to maintain the intensive care patient’s rousability at a level that allows cooperation with diagnostic procedures and compliance with therapeutic measures [2]. In addition to facilitating critical therapeutic evaluations and assessments, this method of treatment could potentially reduce time on the ventilator and length of stay in the intensive care setting. This ‘lighter’ sedation will allow patients the desired interaction with both healthcare practitioners and patient’s families.

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Authors
  1. M. Maze
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Editors and Affiliations

  1. Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Head Department of Intensive Care) (Head Department of Intensive Care)

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© 2000 Springer-Verlag Berlin Heidelberg

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Maze, M. (2000). Sedation in the Intensive Care Environment. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 2000. Yearbook of Intensive Care and Emergency Medicine, vol 2000. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-13455-9_35

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  • DOI: https://doi.org/10.1007/978-3-662-13455-9_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-66830-5

  • Online ISBN: 978-3-662-13455-9

  • eBook Packages: Springer Book Archive

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