Sedation Assessment in Critically Ill Adults: 2001–2004 Update

Watson, Brian D; Kane‐Gill, Sandra L.

doi:10.1345/aph.1e167

Cited by 28 publications

(13 citation statements)

References 64 publications

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“…In sharp contrast to what has been reported in the literature, [9,[17][18][19][20] these results do not support the reliability of the Ramsay scale. The obtained kappa of 0.28 falls far below an acceptable level.…”

Section: Resultscontrasting

confidence: 99%

The Limited Reliability of the Ramsay Scale

et al. 2007

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Section: Resultscontrasting

confidence: 99%

The Limited Reliability of the Ramsay Scale

et al. 2007

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“…The Ramsay scale was used to evaluate sedation since it has been widely used by various authors and in several anesthesiology and intensive care studies and has proven to be a reliable method to evaluate sedation [9][10][11] . Since the average test time was 25.73 ± 10.45 minutes, four punctual evaluations during this timeframe were sufficient to consider the majority of the variations that occurred.…”

Section: Discussionmentioning

confidence: 99%

Clonidina na cineangiocoronariografia: efeitos sedativos sobre a pressão arterial e freqüência cardíaca

Nascimento

Módolo

Carvalho

et al. 2006

Arq. Bras. Cardiol.

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objective: To evaluate the effects of clonidine on heart rate (HR), and blood pressure (BP) as well as its sedative effect on patients submitted to a cineangiocardiography. Methods:A randomized, controlled, double blind, prospective clinical trial was conducted on 62 patients submitted to an elective cineangiocardiography. The patients were divided in two groups: the clonidine group, that were administered a 0.8 µg/kg dose of this drug and the control group, that were administered a 0.9% saline solution. Sedation was evaluated based on the Ramsay Scale and the administration of a 0.04 mg/kg dose of meperidine that was given to the patients who were agitated or anxious during the procedure. The invasive BP, HR and sedation score based on the Ramsay Scale were analyzed every 5 minutes and four different intervals were considered for the assessment: I1-start of the test; I2-5 minutes after the start of the test; I3-median time of the test and I4-end of the test. Results:The clonidine group presented better BP and HR stability and sedation efficacy while the control group presented a higher intake of meperidine (p<0.05). In the statistical analysis, the inference of the continuous variables was calculated using the Student's t-test or Mann-Whitney test and the c 2 or Fisher Exact Probability test was used for the categorical variables. Conclusion:This study demonstrated that clonidine was an efficient means to control BP and HR and provided a conscious sedation for patients submitted to a cineangiocardiography.

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“…Additional approaches to brain monitoring in the ICU include response entropy and state entropy, 58 and auditory-evoked potentials. 59,60 Delirium Evaluation Delirium is associated with worse outcomes 10,11 and has been frequently found in ICU patients when using some 10,61,62 but not all assessment tools 11,[63][64][65] and depending on the patient population. Detection of delirium in the critically ill patient has been challenging because inability to speak and often to write impairs testing, yet tools for use in ICU patients have been developed.…”

Section: Objective Measurement Of Brain Activitymentioning

confidence: 99%