Agitation is a Common Barrier to Recovery of ICU Patients
| العنوان: | Agitation is a Common Barrier to Recovery of ICU Patients |
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| المؤلفون: | Niall T. Prendergast, Chukwudi A. Onyemekwu, Kelly M. Potter, Perry J. Tiberio, Alison E. Turnbull, Timothy D. Girard |
| المصدر: | Journal of Intensive Care Medicine. 38:208-214 |
| بيانات النشر: | SAGE Publications, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Critical Care and Intensive Care Medicine |
| الوصف: | Importance: Agitation is common in mechanically ventilated ICU patients, but little is known about physician attitudes regarding agitation in this setting. Objectives: To characterize physician attitudes regarding agitation in mechanically ventilated ICU patients. Design, Setting, and Participants: We surveyed critical care physicians within a multicenter health system in Western Pennsylvania, assessing attitudes regarding agitation during mechanical ventilation and use of and confidence in agitation management options. We used quantitative clinical vignettes to determine whether agitation influences confidence regarding readiness for extubation. We sent our survey to 332 critical care physicians, of whom 80 (24%) responded and 69 were eligible (had cared for a mechanically ventilated patient in the preceding three months). Main Outcomes and Measures: Respondent confidence in patient readiness for extubation (0–100%, continuous) and frequency of use and confidence in management options (1–5, Likert). Results: Of 69 eligible responders, 61 (88%) agreed agitation is common and 49 (71%) agreed agitation is a barrier to extubation, but only 27 (39%) agreed their approach to agitation is evidence-based. Attitudes regarding agitation did not differ much by practice setting or physician demographics, though respondents working in medical ICUs were more likely ( P = .04) and respondents trained in surgery or emergency medicine were less likely ( P = .03) than others to indicate that agitation is an extubation barrier. Fifty-three (77%) respondents reported they frequently use non-pharmacologic measures to treat agitation, and 42 (70%) of those who reported they used non-pharmacologic measures during the prior 3 months indicated confidence in their effectiveness. In responses to clinical vignettes, confidence in patient's readiness for extubation was significantly lower if the patient was agitated ( P |
| تدمد: | 1525-1489 0885-0666 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::e88d9eb821076d5ccecbc3c5a771b419 https://doi.org/10.1177/08850666221134262 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........e88d9eb821076d5ccecbc3c5a771b419 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15251489 08850666 |
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