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[Sedative practice in intensive care units: results of a Maghrebian survey]
Tunisie Medicale [La]. 2005; 83 (11): 657-663
in French | IMEMR | ID: emr-75276
ABSTRACT
sedation is central to the management of intensive care patients. The aim of this study was to establish the current sedation practice in Maghrebian intensive care units [ICUs]. The use of sedation policies with or without a written protocol. The use of scoring systems, the influence of costs on drug choice, the most common drugs for sedation and the use of neuromuscular blocking agents. A self-administered questionnaire composed of 20 items was sent to 138 intensivists in the Maghreb working in 25 teaching hospitals and 16 private clinics 50 of 138 questionnaires were returned [response rate = 36.2%]. Midazolam and Fentanyl were the sedative agents used [respectively 98% and 87%] less than 14% of the ICUs used the Propofol mainly in the first 48 hours. A sedation policy was adopted in 63.6% with a written protocol in 20% of cases. Sedation scoring systems were noted in 14.3% of cases [RAMSAY scale in 100%]. Economic aspect was important for 64.6% of ICUs. sedation may seem secondary in the initial management of intensive care patients,only 63% of our respondents had a sedation policy and 20% a written protocol though its use is thought to improve outcome and reduce costs. Economic aspect was important for the choice of the drug to use [64%], this may explain the preferential use of Midazolam 98% in association with an analgesic [Fentanyl 85%] while Propofol is used only in 14% though pharmacoeconomic studies may be in fact in favor of the latter. Neuromuscular blocking agents are less frequently used [16%] mainly because of the risk of complications
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Index: IMEMR (Eastern Mediterranean) Main subject: Midazolam / Propofol / Fentanyl / Drug Costs / Intensive Care Units / Neuromuscular Blocking Agents Type of study: Practice guideline Limits: Humans Language: French Journal: Tunisie Med. Year: 2005

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Index: IMEMR (Eastern Mediterranean) Main subject: Midazolam / Propofol / Fentanyl / Drug Costs / Intensive Care Units / Neuromuscular Blocking Agents Type of study: Practice guideline Limits: Humans Language: French Journal: Tunisie Med. Year: 2005