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Clinical reviews
SEDATION AND ANALGESIA IN THE CRITICALLY ILL
Maine Medical Center, Tufts University School of Medicine
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The article provides a comprehensive review of sedation and analgesia practices in critically ill patients, highlighting the evolution of these practices in response to emerging evidence. It discusses the standard of care, including the systematic approach to light sedation and the avoidance of benzodiazepines, which can lead to better patient outcomes such as reduced ICU length of stay and lower rates of delirium. The authors also explore the relative merits of different sedative agents like dexmedetomidine and propofol, as well as emerging medications and future research directions.
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