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Sedating a combative patient training

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Sedation allows the depression of patients' awareness of the environment and reduction of their response to external stimulation. It plays a pivotal role in the care of the critically ill patient, and encompasses a wide spectrum of symptom control that will vary between patients, and among individuals throughout the course of their illnesses.

Principles of sedation

Heavy sedation in critical care to facilitate endotracheal tube tolerance and ventilator synchronization, often with neuromuscular blocking agents, was routine until relatively recently. The modern ICU ventilator is equipped with a wide range of ventilatory modes and, with the addition of electronic flow "Sedating a combative patient training," synchronization problems have largely disappeared.

The replacement of an endotracheal tube by a tracheostomy reduces the discomfort associated with an artificial airway and may often remove the need for sedation entirely. Thus, modern day sedation involves more than tube tolerance and is now focused on the multifactorial individual needs of the patient.

Critical illness can be a frightening experience for a variety of reasons, and adequate sedation may reduce this. Pain is a common problem Sedating a combative patient training may be worsened by invasive and unpleasant procedures. How much sedation is given, and for how long, is important in determining patient outcome as both over and under-sedation can have potentially deleterious consequences.

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