Implementing the C Element of the ABCDEF Bundle

Choice of analgesia and sedation offers guidance for a medication regimen for the management of pain and agitation in critically ill adults, consistent with PAD Guidelines recommendations.

This presentation aims to help construct a safe and effective medication regimen for the management of pain and agitation in critically ill adults, consistent with PAD Guidelines recommendations.

Highlights:

• Treat pain first before considering sedative therapy.
• Not all mechanically ventilated ICU patients need to be started on IV opioid and/or sedation infusions following intubation.
• Use IV bolus doses liberally before starting or increasing opioid or sedative IV infusions.
• Maximize strategies to avoid the use of continuous IV infusions of benzodiazepines:
  • Optimize the use of IV opioids for pain management
  • If lighter sedation is required, consider dexmedetomidine
  • If deep sedation is required, consider propofol

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