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Crit Care Nurs Clin North Am · Jun 2016
ReviewTolerance and Withdrawal Issues with Sedatives in the Intensive Care Unit.
- Gina Riggi, Antonia Zapantis, and Simon Leung.
- Department of Pharmacy, Jackson Memorial Hospital, 1611 Northwest 12th Avenue, Miami, FL 33136, USA. Electronic address: gina.riggi@jhsmiami.org.
- Crit Care Nurs Clin North Am. 2016 Jun 1; 28 (2): 155-67.
AbstractProlonged use of sedative medications continues to be a concern for critical care practitioners, with potential adverse effects including tolerance and withdrawal. The amount of sedatives required in critically ill patients can be lessened and tolerance delayed with the use of pain and/or sedation scales to reach the desired effect. The current recommendation for prolonged sedation is to wean patients from the medications over several days to reduce the risk of drug withdrawal. It is important to identify patients at risk for iatrogenic withdrawal and create a treatment strategy. Copyright © 2016 Elsevier Inc. All rights reserved.
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