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The effect of nursing-implemented sedation on the duration of mechanical ventilation in the ICU

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dc.contributor.buuauthorYılmaz, Canan
dc.contributor.buuauthorGirgin, Nermin Kelebek
dc.contributor.buuauthorÖzdemir, Nurdan
dc.contributor.buuauthorKutlay, Oya
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentAnesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.contributor.orcid0000-0002-1510-0667
dc.contributor.researcheridN-3608-2019
dc.contributor.researcheridAAH-7250-2019
dc.contributor.scopusid56526391600
dc.contributor.scopusid55663009300
dc.contributor.scopusid57212543974
dc.contributor.scopusid6602199747
dc.date.accessioned2022-03-07T13:18:29Z
dc.date.available2022-03-07T13:18:29Z
dc.date.issued2010-11-01
dc.description.abstractBACKGROUND We aimed to compare the effects of nursing-implemented sedation protocol and daily interruption of sedative infusion on the duration of mechanical ventilation. METHODS Fifty patients receiving mechanical ventilation and requiring sedation in the intensive care unit (ICU) were randomly selected to receive either daily interruption of sedative infusion (Group P, n=25) or nursing-implemented sedation protocol (Group N, n=25). In Group P, daily interruption of sedative infusions without any sedation protocol was performed by physicians. In Group N, nursing-implemented sedation protocol prepared by physicians was applied. In this group, if the ideal level of sedation was not achieved, information was given by nurses to physicians. Patients in each group were compared according to demographic variables, duration of mechanical ventilation and sedation, length of stay in the ICU, and mortality. RESULTS Demographic variables, length of stay in the ICU and mortality were similar between the two groups. In Group P, duration of sedation and mechanical ventilation were significantly shorter than in Group N. Light sedation was seen more frequently in Group P and deep sedation in Group N. CONCLUSION Daily interruption of sedative infusions provided shorter duration of sedation and mechanical ventilation than nursing-implemented sedation with protocol. Although nurse-implemented sedation protocol has been found acceptable, if the number of nurses is lacking, we believe the nurse-implemented sedation protocol should not be applied.
dc.identifier.citationYılmaz, C. vd. (2010). "The effect of nursing-implemented sedation on the duration of mechanical ventilation in the ICU". Ulusal Travma ve Acil Cerrahi Dergisi, 16(6), 521-526.
dc.identifier.endpage526
dc.identifier.issn1306-696X
dc.identifier.issue6
dc.identifier.pubmed21153945
dc.identifier.scopus2-s2.0-78649792372
dc.identifier.startpage521
dc.identifier.urihttps://tjtes.org/jvi.aspx?un=UTD-44827
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/21153945/
dc.identifier.urihttp://hdl.handle.net/11452/24880
dc.identifier.volume16
dc.identifier.wos000284091700008
dc.indexed.scopusScopus
dc.indexed.trdizinTrDizin
dc.indexed.wosSCIE
dc.language.isoen
dc.publisherUlusal Travma ve Acil Cerrahi Derneği
dc.relation.journalUlusal Travma ve Acil Cerrahi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDaily interruption of sedation
dc.subjectIntensive care unit
dc.subjectMechanical ventilation
dc.subjectNursing-implemented sedation
dc.subjectIntensive-care-unit
dc.subjectCritically-ill patients
dc.subjectDaily interruption
dc.subjectAnalgesia
dc.subjectProtocol
dc.subjectGuidelines
dc.subjectInfusions
dc.subjectDisease
dc.subjectTrial
dc.subjectEmergency medicine
dc.subject.emtreeDexmedetomidine
dc.subject.emtreeDiazepam
dc.subject.emtreeFentanyl
dc.subject.emtreeMidazolam
dc.subject.emtreePropofol
dc.subject.emtreeAdult
dc.subject.emtreeAged
dc.subject.emtreeArticle
dc.subject.emtreeArtificial ventilation
dc.subject.emtreeClinical article
dc.subject.emtreeClinical trial
dc.subject.emtreeComparative study
dc.subject.emtreeControlled clinical trial
dc.subject.emtreeControlled study
dc.subject.emtreeDemography
dc.subject.emtreeFemale
dc.subject.emtreeHuman
dc.subject.emtreeIntensive care unit
dc.subject.emtreeLength of stay
dc.subject.emtreeMale
dc.subject.emtreeMortality
dc.subject.emtreeNursing care
dc.subject.emtreeNursing protocol
dc.subject.emtreePhysician
dc.subject.emtreeProspective study
dc.subject.emtreeRandomized controlled trial
dc.subject.emtreeSedation
dc.subject.emtreeTreatment duration
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshAPACHE
dc.subject.meshConscious sedation
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshHypnotics and sedatives
dc.subject.meshIntensive care
dc.subject.meshIntensive care units
dc.subject.meshLength of stay
dc.subject.meshMale
dc.subject.meshMiddle aged
dc.subject.meshNursing care
dc.subject.meshPain measurement
dc.subject.meshRespiration, artificial
dc.subject.scopusSedation; Mcgill Pain Questionnaire; Delirium
dc.subject.wosEmergency medicine
dc.titleThe effect of nursing-implemented sedation on the duration of mechanical ventilation in the ICU
dc.typeArticle
dc.wos.quartileQ4
dc.wos.quartileQ4
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
local.indexed.atTrDizin
local.indexed.atWOS
local.indexed.atScopus

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