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Crit Care. 2010;14(3):157. doi: 10.1186/cc8999. Epub 2010 May 20.

Liberation and animation for ventilated ICU patients: the ABCDE bundle for the back-end of critical care.

Author information

1
Anesthesiology Service, VA TN Valley Health Care System, 1310 24th Ave South, Nashville 37212, USA. pratik.pandharipande@vanderbilt.edu

Abstract

Critically ill patients are frequently prescribed sedatives and analgesics to ensure patient safety, to relieve pain and anxiety, to reduce stress and oxygen consumption, and to prevent patient ventilator dysynchrony. Recent studies have revealed that these medications themselves contribute to worsening clinical outcomes. An evidence-based organizational approach referred to as the ABCDE bundle (Awakening and Breathing Coordination of daily sedation and ventilator removal trials; Choice of sedative or analgesic exposure; Delirium monitoring and management; and Early mobility and Exercise) is presented in this commentary.

PMID:
20497606
PMCID:
PMC2911702
DOI:
10.1186/cc8999
[Indexed for MEDLINE]
Free PMC Article

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