Sedation in ICU

SEDATION IN ICU

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................4
MAIN BODY...................................................................................................................................4
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Sedation is basically the procedure wherein patient is being encountered with the sedative
drug for relaxing the patient and for providing the state of comfort and sleep. It is most widely
used in intensive care unite when the patient is admitted. The patient is kept under the sedative
drugs like Fentanyl and Midazolam for few months. However, when Midazolam does not
become effective then it replaced with another most effective sedative which is Propofol. It is
considered as the most effective sedative in comparison to Midazolam due to instant action on
the mid and instant recovery. After these sedative, the patient is administered with another one
that is Dexmedetomidine to maintain the airflow within patients. The main purpose of this study
is to understand the process of sedation and sedatives within ICU and their importance.
This report gives a brief about sedation, importance of Fentanyl and Midazolam, rationale
for replacing Midazolam with Propofol and importance of Dexmedetomidine.
MAIN BODY
Sedation
Sedation is basically administering the patient with a sedative drug or medication in order
to produce the state of sleep as well as calm. The patient post the laparotomy was admitted to
ICU and was in the septic shock. The patient was sedated as well as ventilated within ICU.
Sedation mainly allows the patient to reduce their depression and thus their response to the
external stimulation generally decreases. It has a vital role within care of critically and extremely
ill patient. It encompasses the large number of spectrum of the symptoms control which mainly
varies between the patients as well as among individuals throughout their entire illness. The
heavy seduction within critical care helps in facilitating the endotracheal tube tolerance as well
as ventilator synchronization (Mistraletti and et.al., (2015). The critically ill and unwell patients
are routinely and daily provided with analgesia as well as sedation for preventing the pain as well
as anxiety and thus improve the synchrony along with mechanical ventilation.
Oversedation sometimes commonly takes place and is mainly associated with the worse
and bad clinical outcomes which mainly includes longer time upon the mechanical ventilation
and prolonged stay within intensive care unit. Analgesia as well as sedation are mainly
encountered for providing the patient with comfort and thus ensuring the safety of patient while
reducing the response of stress. The oversedation mainly takes place frequently and is generally
associated with the longer time upon the mechanical ventilation. Modifying the sedation delivery