Fentanyl-Based Analgosedation Strategy for Intubated ICU Patients

In this retrospective cohort study, an analgosedation strategy using fentanyl was associated with reductions in both ventilator time and the need for sedative infusions.

Complications from long-term deep sedation and the lack of adequate pain control for mechanically ventilated intensive care unit (ICU) patients has resulted in the development of analgosedation protocols emphasizing pain control over sedation. Most approaches utilize remifentanil. These investigators conducted a retrospective cohort study of adult medical ICU patients intubated before and after the implementation of a fentanyl-based analgosedation protocol.

Patients who were intubated for more than 24 hours and qualified for lighter levels of sedation were included. Patients extubated during the immediate postoperative period, transferred on a ventilator, or moribund on arrival were excluded. The preimplementation group was managed with prop…

Reviewing Author

Calvin A. Brown III, MD, FAAEM

Disclosures

Consultant / Advisory boardVerathon, Inc. (Scientific Advisory Board Member)

Editorial boardsScientific American Emergency Medicine; Manual of Emergency Airway Management (Editor-in-Chief)

Leadership positions in professional societiesPrograms Subcommittee Chair for the Society for Academic Emergency Medicine–Residency and Fellowship Fair

Calvin A. Brown III, MD, FAAEM

Disclosures

Consultant / Advisory boardVerathon, Inc. (Scientific Advisory Board Member)

Editorial boardsScientific American Emergency Medicine; Manual of Emergency Airway Management (Editor-in-Chief)

Leadership positions in professional societiesPrograms Subcommittee Chair for the Society for Academic Emergency Medicine–Residency and Fellowship Fair

Fentanyl-Based Analgosedation Strategy for Intubated ICU Patients

Topics

Reviewing Author