TY - JOUR T1 - Do sedation and analgesia contribute to long-term cognitive dysfunction in critical care survivors? JO - Medicina Intensiva T2 - AU - Fernandez-Gonzalo,S. AU - Turon,M. AU - De Haro,C. AU - López-Aguilar,J. AU - Jodar,M. AU - Blanch,L. SN - 02105691 M3 - 10.1016/j.medin.2017.06.010 DO - 10.1016/j.medin.2017.06.010 UR - https://medintensiva.org/es-do-sedation-analgesia-contribute-long-term-articulo-S0210569117302164 AB - Deep sedation during stay in the Intensive Care Unit (ICU) may have deleterious effects upon the clinical and cognitive outcomes of critically ill patients undergoing mechanical ventilation. Over the last decade a vast body of literature has been generated regarding different sedation strategies, with the aim of reducing the levels of sedation in critically ill patients. There has also been a growing interest in acute brain dysfunction, or delirium, in the ICU. However, the effect of sedation during ICU stay upon long-term cognitive deficits in ICU survivors remains unclear. Strategies for reducing sedation levels in the ICU do not seem to be associated with worse cognitive and psychological status among ICU survivors. Sedation strategy and management efforts therefore should seek to secure the best possible state in the mechanically ventilated patient and lower the prevalence of delirium, in order to prevent long-term cognitive alterations. ER -