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Quality tools include: [1] Medical guidelines, including checklists [2] (items rated as yes/no/not applicable); Templates [3] for goal setting or structured communication (a more open format than checklists, templates provide the opportunity to add free text responses with items as prompts)
It is the official publication of the Society of Critical Care Medicine and is published by Lippincott Williams & Wilkins. The Society of Critical Care Medicine produces a podcast for critical care clinicians, The iCritical Care Podcast. [2] The Society has participated in developing guidelines and policies with: Canadian Journal of Anesthesia [3]
A chemical restraint is a form of medical restraint in which a drug is used to restrict the freedom or movement of a patient or in some cases to sedate the patient. Chemical restraint is used in emergency, acute, and psychiatric settings to perform surgery or to reduce agitation, aggression or violent behaviours; [a] it may also be used to control or punish unruly behaviours. [2]
Procedural sedation and analgesia (PSA) is a technique in which a sedating/dissociative medication is given, usually along with an analgesic medication, in order to perform non-surgical procedures on a patient. The overall goal is to induce a decreased level of consciousness while maintaining the patient's ability to breathe on their own.
This is accomplished by either clearing a previously obstructed airway; or by preventing airway obstruction in cases such as anaphylaxis, the obtunded patient, or medical sedation. Airway obstruction can be caused by the tongue, foreign objects, the tissues of the airway itself, and bodily fluids such as blood and gastric contents ( aspiration ).
The American Society of Critical Care Medicine is a well-established multi professional society for practitioners working in the ICU including nurses, respiratory therapists, and physicians. Intensive care physicians have some of the highest percentages of physician burnout among all medical specialties, at 48 percent.
Mild or moderate sedation can be induced with medications such as midazolam (a benzodiazepine with sedating, amnesiac qualities), fentanyl (an opioid), or propofol (a sedative/general anesthetic, depending on dosage). Children are anesthetized. Adults are sometimes anesthetized as well if moderate sedation is unsuccessful. [citation needed]
With the growth of hospitals with PICUs in the 1980s, the American Academy of Pediatrics (AAP) and the pediatric section of the Society of Critical Care Medicine (SCCM) set forth guidelines in 1993 for PICUs. [9] Since the establishment of those guidelines, both the number of PICUs and number of PICU beds has been steadily increasing in the US.