Optimizing Sedation Strategies in the Cardiac ICU: Induction, Maintenance and Weaning

被引：0
|
作者：
Alhuneafat, Laith [1 ]
Zacharia, Effimia Maria [1 ]
Velangi, Pratik [1 ]
Bartos, Jason [1 ]
Gutierrez, Alejandra [1 ]
机构：
[1] Univ Minnesota, Cardiovasc Div, 420 Delaware St SE, MMC 508, Minneapolis, MN 55455 USA
来源：
CURRENT CARDIOLOGY REPORTS | 2025年 / 27卷 / 01期
关键词：
Sedation; CICU; Hemodynamics; Valvular heart disease; Heart failure; VT; INTENSIVE-CARE-UNIT; RAPID-SEQUENCE INTUBATION; CRITICALLY-ILL PATIENTS; POSITIVE-PRESSURE VENTILATION; MECHANICAL VENTILATION; ENDOTRACHEAL INTUBATION; RESPIRATORY-FAILURE; HEART-FAILURE; NONINVASIVE VENTILATION; PULMONARY-HYPERTENSION;
D O I：
10.1007/s11886-024-02161-z
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of ReviewWe aim to summarize the available literature guiding tailored sedation practices for specific conditions encountered in the Cardiovascular Intensive Care Unit (CICU).Recent FindingsData specific for the CICU population is lacking. Preclinical data and observational studies guide sedation approaches for specific pathologies that we have used to generate a guideline for sedative choice for various scenarios. We discuss the challenges associated with extubation and highlight the importance of spontaneous breathing trials and role of non invasive ventilation.SummaryUnderstanding the underlying pathology and the effects of sedation and positive pressure ventilation is the base to guide induction and sedation management for patients in the CICU. There is a pressing need for further research to generate high quality clinical data to improve sedation techniques in the CICU.
引用
收藏
页数：15
相关论文
共 50 条
  • [1] Optimizing ICU weaning: globalizing personalized weaning strategies
    Liang, Chenglong
    Zhou, Chen
    Pan, Jingye
    INTENSIVE CARE MEDICINE, 2025, 51 (02) : 446 - 447
  • [2] IMPLEMENTATION OF SEDATION TITRATION AND WEANING GUIDELINES IN A PEDIATRIC CARDIAC ICU
    King, Caitlin
    Wood, Danielle
    Koo, Jeannie
    Cutler, Austin
    Vesel, Travis
    CRITICAL CARE MEDICINE, 2022, 50 (01) : 642 - 642
  • [3] Optimizing ICU weaning: globalizing personalized weaning strategies-author's reply
    Capdevila, Mathieu
    De Jong, Audrey
    Jaber, Samir
    INTENSIVE CARE MEDICINE, 2025, 51 (02) : 448 - 449
  • [4] Guanfacine Use in the ICU for Management of Sedation Weaning
    Lee, Young R.
    Garza, Alayna
    Kiama, Laureen
    CLINICAL DRUG INVESTIGATION, 2025, : 169 - 173
  • [5] GUANFACINE TO AID IN WEANING DEXMEDETOMIDINE FOR SEDATION IN THE ICU
    Medley, Mary
    Wiss, Adam
    Bibb, Brooke
    CRITICAL CARE MEDICINE, 2022, 50 (01) : 474 - 474
  • [6] Optimizing Evidence-Based ICU Sedation
    Kress, John P.
    CRITICAL CARE MEDICINE, 2013, 41 (08) : 2051 - 2052
  • [7] Optimizing weaning strategies of dairy replacement calves
    Bach, A.
    Ahedo, J.
    Ferrer, A.
    JOURNAL OF DAIRY SCIENCE, 2010, 93 (01) : 413 - 419
  • [8] EVALUATION OF PROTOCOLIZED SEDATION WEANING FOR IATROGENIC WITHDRAWAL SYNDROME IN THE PEDIATRIC ICU
    LaPlante, Reid
    Nicolosi, Christian
    Daniel-McCalla, Shawnee
    Parbuoni, Kristine
    CRITICAL CARE MEDICINE, 2024, 52
  • [9] Daily Sedation Interruption Versus Targeted Light Sedation Strategies in ICU Patients
    Hughes, Christopher G.
    Girard, Timothy D.
    Pandharipande, Pratik P.
    CRITICAL CARE MEDICINE, 2013, 41 (09) : S39 - S45
  • [10] COMPARISON OF MIDODRINE DOSING STRATEGIES ON VASOPRESSOR WEANING IN ICU PATIENTS
    Chudow, Melissa
    Glass, Maresa
    CRITICAL CARE MEDICINE, 2019, 47
12345