Journal Information
Share
Share
Download PDF
More article options
Visits
5
Special article
Available online 11 June 2024
Practical approach to inhaled sedation in the critically ill patient. Sedation, analgesia and Delirium Working Group (GTSAD) of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC)
Abordaje práctico de la sedación inhalada en el paciente crítico. Grupo de Trabajo de Sedación, Analgesia y Delirium (GTSAD) de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC)
Visits
5
Sofía Contrerasa,
Corresponding author
, Carola Giménez-Esparza Vichb, Jesús Caballeroc, on behalf of the Sedation, analgesia and Delirium Working Group (GTSAD) of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC)
a Servicio de Medicina Intensiva, Hospital Universitario Vall d’Hebron, Barcelona, Spain
b Servicio de Medicina Intensiva, Hospital Vega Baja, Orihuela, Alicante, Spain
c Servicio de Medicina Intensiva, Hospital Universitari Arnau de Vilanova, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Spain
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (4)
Show moreShow less
Abstract

The use of sedatives in Intensive Care Units (ICU) is essential for relieving anxiety and stress in mechanically ventilated patients, and it is related to clinical outcomes, duration of mechanical ventilation, and length of stay in the ICU. Inhaled sedatives offer benefits such as faster awakening and extubation, decreased total opioid and neuromuscular blocking agents (NMB) doses, as well as bronchodilator, anticonvulsant, and cardiopulmonary and neurological protective effects. Inhaled sedation is administered using a specific vaporizer. Isoflurane is the recommended agent due to its efficacy and safety profile. Inhaled sedation is recommended for moderate and deep sedation, prolonged sedation, difficult sedation, patients with acute respiratory distress syndrome (ARDS), status asthmaticus, and super-refractory status epilepticus. By offering these significant advantages, the use of inhaled sedatives allows for a personalized and controlled approach to optimize sedation in the ICU.

Keywords:
Inhaled sedation
Critical patient
ICU
Sedation
Mechanical ventilation
Resumen

El uso de sedantes en las Unidades de Cuidados Intensivos (UCI) es esencial para aliviar la ansiedad y el estrés en pacientes con ventilación mecánica (VM), y está relacionado con el resultado clínico, la duración de la VM y la estancia del paciente en UCI. Los sedantes inhalados ofrecen beneficios como un despertar y extubación más rápidos, disminución de la dosis total de opioides y de bloqueantes neuromusculares (BNM), además de tener efectos broncodilatadores, anticonvulsivantes y protectores cardiopulmonares y neurológicos. La sedación inhalada se administra mediante un vaporizador específico. El isoflurano es el agente recomendado debido a su perfil de eficacia y de seguridad. La sedación inhalada se recomienda en la sedación moderada y profunda, en la sedación prolongada, en la sedación difícil, en pacientes con síndrome de distrés respiratorio agudo (SDRA) estatus asmático y estatus epiléptico superrefractario. Al ofrecer estas ventajas significativas, el uso de sedantes inhalados permite un enfoque personalizado y controlado para optimizar la sedación en UCI.

Palabras clave:
Sedación inhalada
Paciente crítico
UCI
Sedación
Ventilación mecánica

Article

These are the options to access the full texts of the publication Medicina Intensiva (English Edition)
Member
If you are a member of the Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias::
Go to the members area of the website of the SEMICYUC (www.semicyuc.org )and click the link to the magazine.
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Medicina Intensiva (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?