Sedation and Analgesia for Mechanically Ventilated Patients in the Emergency Department

Christopher Noel; Haney Mallemat

doi:10.1016/j.emc.2019.04.004

Sedation and Analgesia for Mechanically Ventilated Patients in the Emergency Department

Emerg Med Clin North Am. 2019 Aug;37(3):545-556. doi: 10.1016/j.emc.2019.04.004. Epub 2019 May 16.

Authors

Christopher Noel¹, Haney Mallemat²

Affiliations

¹ Critical Care Medicine, Cooper University Hospital, One Cooper Plaza, D427C, Camden, NJ 08103, USA. Electronic address: christopher.b.noel@gmail.com.
² Cooper University Hospital, Camden, NJ 08103, USA.

PMID: 31262420
DOI: 10.1016/j.emc.2019.04.004

Abstract

Mechanically ventilated patients can experience significant pain and anxiety associated with their care. These symptoms should be aggressively treated, but can be challenging to manage without a systematic approach. This article reviews recent literature, current guidelines, and best practices in managing pain, agitation, and anxiety in mechanically ventilated patients in the emergency department.

Keywords: Analgesia; Critically ill; Emergency medicine; Mechanical ventilation; Sedation.

Publication types

Review

MeSH terms

Algorithms
Analgesics / therapeutic use
Anxiety / prevention & control
Clinical Protocols
Emergency Medicine
Emergency Service, Hospital
Humans
Hypnotics and Sedatives / therapeutic use*
Hypotension / etiology
Hypotension / prevention & control
Pain Management*
Pain Measurement
Psychomotor Agitation / therapy
Respiration, Artificial*
Restraint, Physical
Status Epilepticus / therapy

Substances

Analgesics
Hypnotics and Sedatives