The choice of a sedative or paralytic drug, dosage, and route of administration should be made rationally based upon pharmacologic properties of the drug and individual patient requirements. Three common problems occur with the use of sedative, analgesic, and paralytic drugs in the ICU.
Neuromuscular blocking agents (NMBAs), or paralytics, often are deployed in the sickest patients in the intensive care unit (ICU) when usual care fails. Despite the publication of guidelines on the use of NMBAs in the ICU in 2024, clinicians have needed more direction to determine which patients would benefit from NMBAs and which patients would be harmed. Recently, new evidence has shown
Neuromuscular blocking agents (NMBAs), or paralytics, often are deployed in the sickest patients in the intensive care unit (ICU) when usual care fails.
When RaDonda Vaught, 38, a former ICU nurse, saw her patient's condition she knew she had made a mistake. which included enhancing safety measures when administering paralytic drugs.
Neuromuscular blocking agents (NMBAs), or paralytics, often are deployed in the sickest patients in the intensive care unit (ICU) when usual care fails. Despite the publication of guidelines on the use of NMBAs in the ICU in 2024, clinicians
drug tolerance (these same drugs are commonly used in routine ICU care). In Discontinue paralytics; do not use paralytic agents for ventilator withdrawal.
When institutions approach capacity status in their ICUs and have concerns regarding the availability of sedating and paralytic drugs, anesthesiologists should strive to conserve vital drugs for use in ICUs. Shortages of particular concern include propofol, dexmedetomidine, midazolam, and neuromuscular blocking agents.
Second, the one case of paralytic polio may be the tip of a large iceberg. And Haddad wants to explore whether the use of a paralytic drug is
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