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Different sedation protocols are described, emphasizing some patients sedated with ketamine plus midazolam, drugs rarely reported for adults.
Nurse-led sedation protocols have a favorable impact on weaning outcome [1, 2].
Sedation protocols should be used in order to target the lowest possible levels of sedation.
Nursing-implemented sedation protocols are also associated with decreased days on mechanical ventilation [8].
To identify sedation practices among ICU nurses and to determine barriers towards use of sedation protocols.
Nurses in university hospitals reported higher availability of sedation protocols compared to general hospitals (72% vs. 42%, p < 0,001).
All ICU studies used sedation protocols based on sedation scores, none of them including systematic daily sedation interruption.
Improved education for perianesthesia nurses regarding the importance of monitoring both for serious and minor adverse events will help to identify opportunities to improve sedation protocols.
To record, with a thermal camera, peripheral temperature changes during different sedation protocols and to relate the results to changes in the rectal temperature.
Sedation protocols are increasingly being investigated as a method of achieving improved patient outcomes whilst guiding the decision making of both nursing and medical practitioners.
Although use of sedation protocols and daily sedation interruption (DSI) improve outcome, their current use and barriers affecting their use are unclear.
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