Changes in sedation management in German intensive care units between 2002 and 2006: a national follow-up survey.

Abstract:

BACKGROUND:The aim of this study, conducted in 2006, was to find out whether changes in sedation management in German intensive care units took place in comparison with our survey from 2002. METHODS:We conducted a follow-up survey with a descriptive and comparative cross-sectional multi-center design. A postal survey was sent between January and May 2006, up to four times, to the same 269 hospitals that participated in our first survey in 2002. The same questionnaire as in 2002 was used with a few additional questions. RESULTS:Two hundred fourteen (82%) hospitals replied. Sixty-seven percent of the hospitals carried out changes in sedation management since the 2002 survey. Reasons for changes were published literature (46%), national guidelines (29%), and scientific lectures (32%). Sedation protocols (8% versus 52%) and a sedation scale (21% versus 46%) were used significantly more frequently. During sedation periods of up to 24 hours, significantly less midazolam was used (46% versus 35%). In comparison to 2002, sufentanil and epidural analgesia were used much more frequently in all phases of sedation, and fentanyl more rarely. For periods of greater than 72 hours, remifentanil was used more often. A daily sedation break was introduced by 34% of the hospitals, and a pain scale by 21%. CONCLUSION:The increased implementation of protocols and scoring systems for the measurement of sedation depth and analgesia, a daily sedation break, and the use of more short-acting analgesics and sedatives account for more patient-oriented analgesia and sedation in 2006 compared with 2002.

journal_name

Crit Care

authors

Martin J,Franck M,Sigel S,Weiss M,Spies C

doi

10.1186/cc6189

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

R124

issue

6

eissn

1364-8535

issn

1466-609X

pii

cc6189

journal_volume

11

pub_type

杂志文章,多中心研究
  • The effect of earplugs during the night on the onset of delirium and sleep perception: a randomized controlled trial in intensive care patients.

    abstract:INTRODUCTION:This study hypothesised that a reduction of sound during the night using earplugs could be beneficial in the prevention of intensive care delirium. Two research questions were formulated. First, does the use of earplugs during the night reduce the onset of delirium or confusion in the ICU? Second, does the...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/cc11330

    authors: Van Rompaey B,Elseviers MM,Van Drom W,Fromont V,Jorens PG

    更新日期:2012-05-04 00:00:00

  • Prehospital identification of trauma patients with early acute coagulopathy and massive bleeding: results of a prospective non-interventional clinical trial evaluating the Trauma Induced Coagulopathy Clinical Score (TICCS).

    abstract:INTRODUCTION:Identifying patients who need damage control resuscitation (DCR) early after trauma is pivotal for adequate management of their critical condition. Several trauma-scoring systems have been developed to identify such patients, but most of them are not simple enough to be used in prehospital settings in the ...

    journal_title:Critical care (London, England)

    pub_type: 临床试验,杂志文章

    doi:10.1186/s13054-014-0648-0

    authors: Tonglet ML,Minon JM,Seidel L,Poplavsky JL,Vergnion M

    更新日期:2014-11-26 00:00:00

  • A systematic review of the impact of sedation practice in the ICU on resource use, costs and patient safety.

    abstract:INTRODUCTION:Patients in intensive care units (ICUs) often receive sedation for prolonged periods. In order to better understand the impact of sub-optimal sedation practice on outcomes, we performed a systematic review, including observational studies and controlled trials which were conducted in sedated patients in th...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc8956

    authors: Jackson DL,Proudfoot CW,Cann KF,Walsh T

    更新日期:2010-01-01 00:00:00

  • Statistics review 4: sample size calculations.

    abstract::The present review introduces the notion of statistical power and the hazard of under-powered studies. The problem of how to calculate an ideal sample size is also discussed within the context of factors that affect power, and specific methods for the calculation of sample size are presented for two common scenarios, ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc1521

    authors: Whitley E,Ball J

    更新日期:2002-08-01 00:00:00

  • Beyond volutrauma in ARDS: the critical role of lung tissue deformation.

    abstract::Ventilator-induced lung injury (VILI) consists of tissue damage and a biological response resulting from the application of inappropriate mechanical forces to the lung parenchyma. The current paradigm attributes VILI to overstretching due to very high-volume ventilation (volutrauma) and cyclic changes in aeration due ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc10052

    authors: Albaiceta GM,Blanch L

    更新日期:2011-04-07 00:00:00

  • Is acute respiratory distress syndrome an iatrogenic disease?

    abstract::In this month's issue of Critical Care, Determann and colleagues report the results of a randomized controlled trial comparing the effects of mechanical ventilation (MV) with two tidal volumes (6 versus 10 ml/kg predicted body weight) on cytokine levels in lung lavage fluid and plasma as a surrogate for early identifi...

    journal_title:Critical care (London, England)

    pub_type: 社论

    doi:10.1186/cc8842

    authors: Villar J,Slutsky AS

    更新日期:2010-01-01 00:00:00

  • Acute kidney injury is associated with a decrease in cortical renal perfusion during septic shock.

    abstract:BACKGROUND:Renal perfusion status remains poorly studied at the bedside during septic shock. We sought to measure cortical renal perfusion in patients with septic shock during their first 3 days of care using renal contrast enhanced ultrasound (CEUS). METHODS:We prospectively included 20 ICU patients with septic shock...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-018-2067-0

    authors: Harrois A,Grillot N,Figueiredo S,Duranteau J

    更新日期:2018-06-15 00:00:00

  • Delay of transfer from the intensive care unit: a prospective observational study of incidence, causes, and financial impact.

    abstract:INTRODUCTION:A paucity of literature exists regarding delays in transfer out of the intensive care unit. We sought to analyze the incidence, causes, and costs of delayed transfer from a surgical intensive care unit (SICU). METHODS:An IRB-approved prospective observational study was conducted from January 24, 2010, to ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc12807

    authors: Johnson DW,Schmidt UH,Bittner EA,Christensen B,Levi R,Pino RM

    更新日期:2013-07-04 00:00:00

  • Intra-abdominal hypertension in patients with severe acute pancreatitis.

    abstract:INTRODUCTION:Abdominal compartment syndrome has been described in patients with severe acute pancreatitis, but its clinical impact remains unclear. We therefore studied patient factors associated with the development of intra-abdominal hypertension (IAH), the incidence of organ failure associated with IAH, and the effe...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc3754

    authors: De Waele JJ,Hoste E,Blot SI,Decruyenaere J,Colardyn F

    更新日期:2005-08-01 00:00:00

  • Case mix, outcome and activity for patients with severe acute kidney injury during the first 24 hours after admission to an adult, general critical care unit: application of predictive models from a secondary analysis of the ICNARC Case Mix Programme data

    abstract:INTRODUCTION:This study pools data from the UK Intensive Care National Audit and Research Center (ICNARC) Case Mix Programme (CMP) to evaluate the case mix, outcome and activity for 17,326 patients with severe acute kidney injury (AKI) occurring during the first 24 hours of admission to intensive care units (ICU). MET...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc7003

    authors: Kolhe NV,Stevens PE,Crowe AV,Lipkin GW,Harrison DA

    更新日期:2008-01-01 00:00:00

  • Role of angiotensin-converting enzyme 2 (ACE2) in COVID-19.

    abstract::An outbreak of pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that started in Wuhan, China, at the end of 2019 has become a global pandemic. Both SARS-CoV-2 and SARS-CoV enter host cells via the angiotensin-converting enzyme 2 (ACE2) receptor, which is expressed in various human organ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-020-03120-0

    authors: Ni W,Yang X,Yang D,Bao J,Li R,Xiao Y,Hou C,Wang H,Liu J,Yang D,Xu Y,Cao Z,Gao Z

    更新日期:2020-07-13 00:00:00

  • Bench-to-bedside review: Therapeutic options and issues in the management of ventilator-associated bacterial pneumonia.

    abstract::Despite progress in the diagnosis, prevention and therapy for hospital-acquired infections, ventilator-associated pneumonia (VAP) continues to complicate the course of a significant proportion of patients receiving mechanical ventilation. Mortality rates among patients with VAP have been reported to be as high as 72%,...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc3014

    authors: Rello J

    更新日期:2005-06-01 00:00:00

  • Urinalysis and pre-renal acute kidney injury: time to move on.

    abstract::Urinary indices are classically believed to allow differentiation of transient (or pre-renal) acute kidney injury (AKI) from persistent (or acute tubular necrosis) AKI. However, the data validating urinalysis in critically ill patients are weak. In the previous issue of Critical Care, Pons and colleagues demonstrate i...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc12676

    authors: Schneider AG,Bellomo R

    更新日期:2013-05-07 00:00:00

  • European Society of Intensive Care Medicine 14th annual congress, 30 September-3 October 2001, Geneva, Switzerland.

    abstract::The European Society of Intensive Care Medicine Annual Congress offers the opportunity for basic scientists and clinicians to share recent findings. Apart from the large number of free communications, several sessions of the congress were dedicated to state-of-the-art tutorials given by established speakers. The areas...

    journal_title:Critical care (London, England)

    pub_type:

    doi:10.1186/cc1063

    authors: Preiser JC

    更新日期:2001-12-01 00:00:00

  • The 21st International Symposium on Intensive Care and Emergency Medicine, Brussels, Belgium, 20-23 March 2001.

    abstract::The 21st International Symposium on Intensive Care and Emergency Medicine was dominated by the results of recent clinical trials in sepsis and acute respiratory distress syndrome (ARDS). The promise of extracorporeal liver replacement therapy and noninvasive ventilation were other areas of interest. Ethical issues als...

    journal_title:Critical care (London, England)

    pub_type:

    doi:10.1186/cc1013

    authors: Ball J,Venn R

    更新日期:2001-01-01 00:00:00

  • Intensivists at night: putting resources in the right place.

    abstract::During the past 50 years, caring for the critically ill has become increasingly complex and the need for an intensivist has become more evident. Management by intensivists has become a quality indicator for many ICUs. Numerous small studies have demonstrated the beneficial effect of intensivists on outcomes in the cri...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc13060

    authors: Levy MM

    更新日期:2013-10-14 00:00:00

  • Induction of Bim and Bid gene expression during accelerated apoptosis in severe sepsis.

    abstract:INTRODUCTION:In transgenic animal models of sepsis, members of the Bcl-2 family of proteins regulate lymphocyte apoptosis and survival of sepsis. This study investigates the gene regulation of pro-apoptotic and anti-apoptotic members of the Bcl-2 family of proteins in patients with early stage severe sepsis. METHODS:I...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc7088

    authors: Weber SU,Schewe JC,Lehmann LE,Müller S,Book M,Klaschik S,Hoeft A,Stüber F

    更新日期:2008-01-01 00:00:00

  • Marked regional endothelial dysfunction in mottled skin area in patients with severe infections.

    abstract:BACKGROUND:Mottling around the knee, reflecting a reduced skin blood flow, is predictive of mortality in patients with septic shock. However, the causative pathophysiology of mottling remains unknown. We hypothesized that the cutaneous hypoperfusion observed in the mottled area is related to regional endothelial dysfun...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-017-1742-x

    authors: Bourcier S,Joffre J,Dubée V,Preda G,Baudel JL,Bigé N,Leblanc G,Levy BI,Guidet B,Maury E,Ait-Oufella H

    更新日期:2017-06-23 00:00:00

  • Open lung biopsy in early-stage acute respiratory distress syndrome.

    abstract:INTRODUCTION:Acute respiratory distress syndrome (ARDS) has heterogeneous etiologies, rapid progressive change and a high mortality rate. To improve the outcome of ARDS, accurate diagnosis is essential to the application of effective early treatment. The present study investigated the clinical effects and safety of ope...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc4981

    authors: Kao KC,Tsai YH,Wu YK,Chen NH,Hsieh MJ,Huang SF,Huang CC

    更新日期:2006-01-01 00:00:00

  • Neuronal and glial markers are differently associated with computed tomography findings and outcome in patients with severe traumatic brain injury: a case control study.

    abstract:INTRODUCTION:Authors of several studies have studied biomarkers and computed tomography (CT) findings in the acute phase after severe traumatic brain injury (TBI). However, the correlation between structural damage as assessed by neuroimaging and biomarkers has not been elucidated. The aim of this study was to investig...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/cc10286

    authors: Mondello S,Papa L,Buki A,Bullock MR,Czeiter E,Tortella FC,Wang KK,Hayes RL

    更新日期:2011-06-24 00:00:00

  • Changes in stroke volume induced by passive leg raising in spontaneously breathing patients: comparison between echocardiography and Vigileo/FloTrac device.

    abstract:INTRODUCTION:Passive leg raising (PLR) is a simple reversible maneuver that mimics rapid fluid loading and increases cardiac preload. The effects of this endogenous volume expansion on stroke volume enable the testing of fluid responsiveness with accuracy in spontaneously breathing patients. However, this maneuver requ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc8195

    authors: Biais M,Vidil L,Sarrabay P,Cottenceau V,Revel P,Sztark F

    更新日期:2009-01-01 00:00:00

  • Microcirculatory perfusion disturbances in septic shock: results from the ProCESS trial.

    abstract:BACKGROUND:We sought to determine the effects of alternative resuscitation strategies on microcirculatory perfusion and examine any association between microcirculatory perfusion and mortality in sepsis. METHODS:This was a prospective, formally designed substudy of participants in the Protocolized Care in Early Septic...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s13054-018-2240-5

    authors: Massey MJ,Hou PC,Filbin M,Wang H,Ngo L,Huang DT,Aird WC,Novack V,Trzeciak S,Yealy DM,Kellum JA,Angus DC,Shapiro NI,ProCESS investigators.

    更新日期:2018-11-20 00:00:00

  • Association between hospital volume and network membership and an analgesia, sedation and delirium order set quality score: a cohort study.

    abstract:INTRODUCTION:Protocols for the delivery of analgesia, sedation and delirium care of the critically ill, mechanically ventilated patient have been shown to improve outcomes but are not uniformly used. The extent to which elements of analgesia, sedation and delirium guidelines are incorporated into order sets at hospital...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/cc11390

    authors: Dale CR,Hayden SJ,Treggiari MM,Curtis JR,Seymour CW,Yanez ND 3rd,Fan VS

    更新日期:2012-06-18 00:00:00

  • Influence of temperature on thromboelastometry and platelet aggregation in cardiac arrest patients undergoing targeted temperature management.

    abstract:BACKGROUND:Coagulation can be visualised using whole blood coagulation analyses such as thromboelastometry and platelet aggregation tests; however, the role of temperature in the analyses is ambiguous. The aim was to examine whether temperature influences the whole blood coagulation tests. METHODS:We included 40 patie...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-016-1302-9

    authors: Jeppesen AN,Kirkegaard H,Ilkjær S,Hvas AM

    更新日期:2016-04-30 00:00:00

  • N-acetylcysteine decreases lactate signal intensities in liver tissue and improves liver function in septic shock patients, as shown by magnetic resonance spectroscopy: extended case report.

    abstract:BACKGROUND:N-acetylcysteine (NAC) has been shown to improve splanchnic blood flow in experimental studies. This report evaluates the effects of NAC on liver perfusion and lactate signal intensities in the liver tissue of septic shock patients using proton magnetic resonance imaging and spectroscopy. Furthermore, the mo...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc2426

    authors: Hein OV,Ohring R,Schilling A,Oellerich M,Armstrong VW,Kox WJ,Spies C

    更新日期:2004-04-01 00:00:00

  • Thrombomodulin phenotype of a distinct monocyte subtype is an independent prognostic marker for disseminated intravascular coagulation.

    abstract:INTRODUCTION:Thrombomodulin, which is expressed solely on monocytes, along with tissue factor (TF), takes part in coagulation and inflammation. Circulating blood monocytes can be divided into 3 major subtypes on the basis of their receptor phenotype: classical (CD14brightCD16negative, CMs), inflammatory (CD14brightCD16...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc10139

    authors: Hwang SM,Kim JE,Han KS,Kim HK

    更新日期:2011-01-01 00:00:00

  • Vasopressin in vasodilatory shock: hemodynamic stabilization at the cost of the liver and the kidney?

    abstract::Infusing arginine vasopressin (AVP) in advanced vasodilatory shock is usually accompanied by a decrease in cardiac index and systemic oxygen transport. Whether or not such a vasoconstriction impedes regional blood flow and thus visceral organ function, even when low AVP is used, is still a matter of debate. Krejci and...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章,评审

    doi:10.1186/cc6171

    authors: Bracht H,Asfar P,Radermacher P,Calzia E

    更新日期:2007-01-01 00:00:00

  • Interest of low-dose hydrocortisone therapy during brain-dead organ donor resuscitation: the CORTICOME study.

    abstract:INTRODUCTION:Circulatory failure during brain death organ donor resuscitation is a problem that compromises recovery of organs. Combined administration of steroid, thyroxine and vasopressin has been proposed to optimize the management of brain deceased donors before recovery of organs. However the single administration...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/cc13997

    authors: Pinsard M,Ragot S,Mertes PM,Bleichner JP,Zitouni S,Cook F,Pierrot M,Dube L,Menguy E,Lefèvre LM,Escaravage L,Dequin PF,Vignon P,Pichon N

    更新日期:2014-07-23 00:00:00

  • Bench-to-bedside review: Cytopathic hypoxia.

    abstract::The rate of oxygen consumption by certain tissues is impaired when mice or rats are injected with lipopolysaccharide. A similar change in the rate of oxygen consumption is observed when Caco-2 human enterocyte-like cells are incubated in vitro with cytomix, a cocktail of cytokines containing tumor necrosis factor, IL-...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc1824

    authors: Fink MP

    更新日期:2002-12-01 00:00:00

  • Ethyl pyruvate reduces liver injury at early phase but impairs regeneration at late phase in acetaminophen overdose.

    abstract:INTRODUCTION:Inflammation may critically affect mechanisms of liver injury in acetaminophen (APAP) hepatotoxicity. Kupffer cells (KC) play important roles in inflammation, and KC depletion confers protection at early time points after APAP treatment but can lead to more severe injury at a later time point. It is possib...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc11149

    authors: Yang R,Zou X,Koskinen ML,Tenhunen J

    更新日期:2012-01-16 00:00:00