Impact of Sedation on Cognitive Function in Mechanically Ventilated Patients.

Abstract:

:The practice of sedation dosing strategy in mechanically ventilated patient has a profound effect on cognitive function. We conducted a comprehensive review of outcome of sedation on mental health function in critically ill patients on mechanical ventilation in the intensive care unit (ICU). We specifically evaluated current sedative dosing strategy and the development of delirium, post-traumatic stress disorders (PTSDs) and agitation. Based on this review, heavy dosing sedation strategy with benzodiazepines contributes to cognitive dysfunction. However, outcome for mental health dysfunction is mixed in regard to newer sedatives agents such as dexmedetomidine and propofol. Moreover, studies that examine the impact of sedatives for persistence of PTSD/delirium and its long-term cognitive and functional outcomes for post-ICU patients are frequently underpowered. Most studies suffer from low sample sizes and methodological variations. Therefore, larger randomized controlled trials are needed to properly assess the impact of sedation dosing strategy on cognitive function.

journal_name

Lung

journal_title

Lung

authors

Porhomayon J,El-Solh AA,Adlparvar G,Jaoude P,Nader ND

doi

10.1007/s00408-015-9820-9

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

43-52

issue

1

eissn

0341-2040

issn

1432-1750

pii

10.1007/s00408-015-9820-9

journal_volume

194

pub_type

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