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- W2313927670 abstract "Introduction: A multi-disciplinary team updated our institutions' pain, agitation and delirium (PAD) guideline based on recommendations of the SCCM PAD guidelines. Our guideline emphasized protocolized sedation with increased prn boluses and non-benzodiazepine infusions, daily sedation interruption, and pairing of spontaneous awakening (SAT) and breathing trials (SBT). The purpose of this project was to evaluate the impact of implementation of a PAD guideline on clinical outcomes and medication utilization in an academic medical center intensive care unit (ICU). It was hypothesized that the guideline would improve clinical outcomes and decrease continuous infusion benzodiazepine usage. Methods: Pre-post retrospective chart review of 2085 (1147 pre, 938 post) critically ill, mechanically ventilated adults in a medical/surgical ICU between September 2011 and July 2013. The PAD guideline was implemented in September 2012. Results: Average ventilation days was reduced after guideline implementation (3.98 vs 3.33 days, p=0.0008), as well as ICU and hospital LOS (4.79 vs 4.24 days, p=0.02 and 13.96 vs 12.82 days, p=0.03, respectively). Hospital mortality (19 vs 20%, p=0.72) and APACHE 4 scores (77.28 vs 79.14, p=0.19) were no different. After guideline implementation, the percentage of patients with midazolam infusions decreased (422/1147 (37%) vs 306/938 patients (33%), p=0.047). The percentage of patients receiving continuous infusion propofol (679/1147 (59%) vs 766/938 (82%), p = 0.0001) and dexmedetomidine (78/1147 (7%) vs 121/938 (13%), p=0.0001) increased. Average duration dexmedetomidine infusions were running was reduced (41.5 vs 25.8 hours). The percentage of patients receiving prn bolus midazolam increased (434/1147 (38%) vs 557/938 (59%), p=0.0001) and the percent who had a continuous infusion opioid increased (592/1147 (52%) vs 580/938 (62%), p=0.0001). Average pain and sedative drug cost per month did not change ($13,606.12 vs. $13,368.30). Conclusions: A multi-disciplinary PAD guideline utilizing protocolized sedation and daily sedation interruption decreased ventilation days and ICU and hospital LOS without increasing sedation costs and while decreasing midazolam drip usage." @default.
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- W2313927670 date "2013-12-01" @default.
- W2313927670 modified "2023-10-18" @default.
- W2313927670 title "868" @default.
- W2313927670 doi "https://doi.org/10.1097/01.ccm.0000440106.04008.86" @default.
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