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Total Results: 279 records

Showing results for "sedation".

1. Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
   January 01, 2017 - with a protocol versus sedation with a protocol and a daily sedation vacation. … Recommends use of daily interruption or lightening of sedation (SAT) to avoid constant heavy sedation … RCT Protocolized Sedation Versus Protocolized Sedation & Daily Sedation Interruption (Mehta, 2012 … Patients were randomized to protocolized sedation or protocolized sedation plus daily sedation interruption … of sedation.

2. Tool: SSA (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
   January 01, 2017 - with a protocol versus sedation with a protocol and a daily sedation vacation. … RCT Protocolized Sedation Versus Protocolized Sedation & Daily Sedation Interruption (Mehta, 2012)3 … Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation … Patients were randomized to protocolized sedation or protocolized sedation plus daily sedation interruption … of sedation.

3. Measure Descriptions for Daily Care Processes: Slide Presentation | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-slides.html
   January 01, 2017 - Slide 16: Sedation Scale Image: Detail of the sedation scale column. … Slide 17: Sedation Scale Image: Detail of the sedation scale column. … Slide 19: Sedation Scale: Actual RASS Image: Detail of the sedation scale column. … Slide 21: Sedation Scale: Actual SAS Image: Detail of the sedation scale column. … Slide 22: Sedation Scale: NU Image: Detail of the sedation scale column.

4. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Facilitator Guide | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
   January 01, 2017 - You will also learn about delirium assessments and sedation management. … "C" represents the choice of sedation. … Choose to either interrupt sedation daily or target light sedation. … Deep sedation, as determined by a score of -4 or -5 on the Richmond Agitation-Sedation Scale, should … be avoided as deep sedation has been shown to be harmful.

5. Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Facilitator Guide | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
   February 01, 2017 - If the patient can’t go without sedation and complications for 4 hours, restart sedation at half dosage … and then titrate for pain and sedation. … Slide 21: Perceived Barriers to Sedation Protocols and SATs Say: Despite the benefits of sedation … In this trial, 140 patients were randomized and given either routine sedation or no sedation at all. … Seventy were prescribed sedation, using propofol and then midazolam, while 70 were prescribed no sedation

6. Measure Descriptions for Daily Early Mobility: Slide Presentation | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
   February 01, 2017 - Slide 9: Sedation Scale Image: Detail of the sedation scale columns. … Slide 10: Sedation Scale Image: Detail of the sedation scale columns. … R = Richmond Agitation Sedation Scale (RASS). S = Riker Sedation-Agitation Scale (SAS). … Slide 11: Sedation Scale Image: Detail of the sedation scale columns. … Enter RASS sedation scale value ( -5 to 4 ). OR Enter SAS sedation scale value ( 1 to 7 ).

7. Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Slide Presentation | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-slides.html
   February 01, 2017 - Perceived barriers to the use of sedation protocols and daily sedation interruption: a multidisciplinary … Perceived barriers to the use of sedation protocols and daily sedation interruption: a multidisciplinary … Unconvinced lowering sedation will benefit patients. … versus no sedation: 70 prescribed routine sedation (propofol then midazolam). 70 prescribed no sedation … Perceived barriers to the use of sedation protocols and daily sedation interruption: a multidisciplinary

8. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Slide Presentation | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-slides.html
   January 01, 2017 - Break the cycle of deep sedation and prolonged mechanical ventilation. … Either interrupt sedation daily OR target light sedation: Avoid deep sedation (Richmond Agitation-Sedation … Effectiveness of implementing a wake up and breathe program on sedation and delirium in the ICU. … Improving patient care through the prism of psychology: application of Maslow's hierarchy to sedation … Effectiveness of implementing a wake up and breathe program on sedation and delirium in the ICU.

9. Presentation: Program Overview
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-slides.pptx
   January 01, 2017 - Scale What sedation scale do you use on your unit? … Scale Use Richmond Agitation Sedation Scale (RASS) or Riker Sedation-Agitation Scale (SAS) but not both … Enter RASS sedation scale value (-5 to 4) Enter “X” if an actual RASS sedation level was not scored Enter … Enter SAS sedation scale value (1 to 7) Enter “X” if an actual SAS sedation level was not scored Enter … NS = Not sedated Y = Medications for sedation have been held N = Medications for sedation have NOT been

10. Daily Early Mobility Data Collection Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-tool.html
    January 01, 2017 - Patient sedated (Richmond Agitation Sedation Scale [RASS] -4 or -5; or Riker Sedation-Agitation Scale … Sedation Scale DATA FIELD DIRECTIONS RASS/SAS/Not Used in This Unit: What sedation scale do you … Enter NS if the target RASS sedation level was not set. … Enter NS if the target SAS sedation level was not set. … Enter X if an actual SAS sedation level was not scored.

11. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
    January 01, 2003 - Video markers of gold standard and test sedation 1A. … Verbal stimulation for Level of Sedation not used B. … Based on a single sedation care system test, we were able to show that the sedation system currently … The pediatric sedation unit: a mechanism for pediatric sedation. … Safety and efficacy of sedation in children using a structured sedation program.

12. Presentation: Program Overview
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
    January 01, 2017 - Perceived barriers to the use of sedation protocols and daily sedation interruption: a multidisciplinary … Intensive care unit sedation: waking up clinicians to the gap between research and practice. … Perceived barriers to the use of sedation protocols and daily sedation interruption: a multidisciplinary … versus no sedation 70 prescribed routine sedation (propofol then midazolam) 70 prescribed no sedation … Perceived barriers to the use of sedation protocols and daily sedation interruption: a multidisciplinary

13. Daily Care Processes Data Collection Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-tool.html
    January 01, 2017 - Sedation Scale DATA FIELD DIRECTIONS RASS/SAS/NU  What sedation scale do you use on your unit … Enter NS if the target RASS sedation level was not set. … Enter NS if the target SAS sedation level was not set. … Enter X if an actual SAS sedation level was not scored. … SAT:  Have medications for sedation been held today?

14. Measure Descriptions for Daily Care Processes: Facilitator Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/dailycare-processes-facguide.html
    January 01, 2017 - the results of sedation scales performed. … Slide 16: Sedation Scale Ask: What sedation scale do you use in your unit? … Sedation-Agitation Scale (SAS), or no sedation scale at all. … Say: First, enter the RASS sedation scale value. … Have medications for sedation been held today?

15. Presentation: Program Overview
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-slides.pptx
    January 01, 2017 - daily and minimize sedative use Assess sedation and delirium with structured scales Screen for highest … Scale What sedation scale do you use on your unit? … Scale R = Richmond Agitation Sedation Scale (RASS) S = Riker Sedation-Agitation Scale (SAS) NU = Unit … Enter RASS sedation scale value (-5 to 4) OR Enter SAS sedation scale value (1 to 7) “NS” means not set … Enter RASS sedation scale value (-5 to 4) OR Enter SAS sedation scale value (1 to 7) “NS” means not set

16. Early-Mobility-Tool (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-tool.docx
    January 01, 2017 - Patient sedated (Richmond Agitation Sedation Scale [RASS] -4 or -5; or Riker Sedation-Agitation Scale … Sedation Scale DATA FIELD DIRECTIONS RASS/SAS/Not Used in This Unit: What sedation scale do you … a target RASS sedation level was actually set. · Enter the RASS actual sedation numeric scale value, … sedation level was scored. … a target SAS sedation level was actually set. · Enter the actual SAS sedation numeric scale value, choosing

17. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
    January 01, 2017 - You will also learn about delirium assessments and sedation management. … “C” represents the choice of sedation. … Choose to either interrupt sedation daily or target light sedation. … Deep sedation, as determined by a score of -4 or -5 on the Richmond Agitation-Sedation Scale, should … be avoided as deep sedation has been shown to be harmful.

18. Infographic: AHRQ Safety Program for Mechanically Ventilated Patients (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/mvp-infographic-overview.pdf
    January 01, 2017 - Improve teamwork and communication • F F A T S E N I L T N ORFFOM O D SI W E H T P A T SEDATION … drainage endotracheal tube if intubated ≥ 72 hours Confirm head of bed elevation ≥ 30o Minimize sedation … Perform spontaneous breathing trial to wean patient off mechanical ventilation DELIRIUM MOBILITY SEDATION … Tailor goals to maximize mobility Minimize sedation level Assess then address delirium AHRQ Pub

19. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-factsheet.docx
    January 01, 2017 - What the Experts Say Society for Healthcare Epidemiology of America Recommends the interruption of sedation … should be paired.4 American Thoracic Society Recommends use of daily interruption (SAT) or lightening of sedation … to avoid constant heavy sedation and to facilitate and accelerate weaning; does not address SBT.5 Centers … Weaning from mechanical ventilation and sedation. Curr Opin Anesthesiol. 2012 Apr;25(2):164-9. … Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated

20. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
    February 01, 2017 - such as the RASS score and the SAS (Riker Sedation-Agitation Scale). … In addition, delirium can be mistaken for anxiety, and incorrectly treated with sedation. … Slide 25: 2014 SHEA Compendium Update Say: If sedation is necessary, interrupt sedation at least … Use continuous sedation if boluses exceed three per hour. … Avoid deep sedation with a Richmond Agitation Sedation Scale (RASS) of -4/-5, as it appears to be harmful