5 • 644 Ratings
🗓️ 3 March 2015
⏱️ 28 minutes
🧾️ Download transcript
In this episode, we discuss the pharmacology of oversedation, the importance of sedation minimization strategies in mechanically ventilated patients, and overview the sedatives and analgesics commonly used in this patient population.
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0:00.0 | Welcome to Helix Talk, a podcast presented by the Rosalind Franklin University College of Pharmacy. |
0:09.9 | We're hoping that our real-life clinical pearls and discussions will help you stay up to date and improve your pharmacy knowledge. |
0:18.3 | This podcast contains general information for educational purposes only. This is not |
0:23.1 | professional advice and should not be used in lieu of obtaining advice from a qualified health care |
0:27.8 | provider. And now, on to the show. Welcome to episode 22 of Helix Talk. I'm your co-host Dr. Kane. |
0:35.4 | I'm Dr. Schumann. And I'm Dr. Patel. And I'm proud to announce |
0:39.0 | the first ever critical care topic in the Helix Talk episode. Of course you're happy, Dr. Kane. |
0:46.0 | And today we're going to be talking about sedation minimization. And I don't mean preventing students |
0:50.5 | from falling asleep in class. What I mean is reducing the amount of sedatives that we give |
0:54.9 | our ICU patients who are receiving mechanical ventilation. To kind of set the stage for the topic, |
1:00.3 | I wanted to ask both of you to. I assume you've never received mechanical ventilation, right? |
1:05.4 | At least not in the last week or two now. I think I might have, but they gave me a really good |
1:09.1 | sedative, so I forgot. Okay. |
1:11.6 | So one hot topic in critical care right now is if you were to be mechanically ventilated, |
1:16.6 | which means that they're going to take an end of your tracheal tube, put it down your trachea, |
1:19.6 | inflate a balloon at the end of it, and then deliver air through that endotracheal tube or ET tube. |
1:25.6 | That seems like a fairly painful procedure to have |
1:28.1 | this big tube down your throat. So the question becomes, would you like to be deeply sedated |
1:33.2 | while you're receiving this therapy? Would you rather be alert and aware of your surroundings, |
1:38.0 | or what would you rather have? I think personally, I would like to be completely knocked out. |
1:43.0 | Just the thought of having something stuck down my throat sounds really frightening. |
1:48.0 | There's always those horror stories as somebody who wakes up in the middle of it and realizes all of a sudden they've been a tube show down them. |
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