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Editorial: Do Our Sedation Practices Contribute to Increased Mortality in Coronavirus Disease 2019–Related Acute Respiratory Distress Syndrome?
Crisis Management, Pharmacology,
From Critical Care Medicine. In this Editorial, the authors discuss the article by Wongtangman et al. entitled “Association of Sedation, Coma, and In-Hospital Mortality in Mechanically Ventilated Patients With Coronavirus Disease 2019–Related Acute Respiratory Distress Syndrome” and suggest that reemploying the use of evidence-based strategies developed over the past 20 years through rigorous controlled trials is one of the best mechanisms by which to help critically ill adults with COVID-19 liberate from the ICU and transition toward recovery and survivorship. They suggest that an analgesia-first and minimization of sedation approach to therapy should be promoted, and that, in the setting of lightened sedation, distress-related symptoms (e.g., pain, anxiety, and dyspnea) and patient-ventilator asynchrony should be assessed and managed by the interprofessional ICU team.
Devlin JW, Pandharipande PP.
Estimated Time: 10:13 min