Length: 1.5 - 3 hours [Program can be modified to fit this time span.]
Managing sedation and delirium in the ICU can be a difficult task. Almost all intensive care patients require sedation but achieving the appropriate balance of medications to achieve that end may be difficult. Often the very medications that we give to provide comfort and minimal sedation can result in over-sedation and delirium. This program will provide an overview of the current bedside tools available for the assessment of anxiety, sedation and delirium. It will review treatment recommendations from current clinical practice guidelines for the management of these critically ill patients. Lastly it will outline an example of how to implement and evaluate these recommendations.
- At the end of this program, participants will be able to:
- Describe the difference between level of consciousness and content of consciousness.
- Identify the indications for and dangers of sedation
- Identify the three main drug classes used for sedation
- Describe patient targeted sedation
- Define delirium
- Identify the outcomes associated with ICU delirium
- List the 4 features involved in delirium assessment
- Describe the process of implementing and evaluating treatment recommendations including monitoring scales and protocols.
- List at least 3 barriers to implementation of a sedation and delirium protocol