Author/Authors :
ARABI, YASEEN King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia , ARABI, YASEEN King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , HADDAD, SAMIR King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , HADDAD, SAMIR King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia , HAWES, REBECCA King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , HAWES, REBECCA King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia , MOORE, THERESA King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , MOORE, THERESA King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia , PILLAY, MONICA King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , PILLAY, MONICA King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia , NAIDU, BRINTHA King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , NAIDU, BRINTHA King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia , ISSA, ANWAR King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , ISSA, ANWAR King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia , YENI, BARBARA King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , YENI, BARBARA King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia , GRANT, CRAIG King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , GRANT, CRAIG King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia , ALSHIMEMERI, ABDULLAH King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , ALSHIMEMERI, ABDULLAH King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia
Abstract :
Introduction: Sedation protocols have demonstrated effectiveness in improving ICU sedation practices. However, the importance of multifaceted multidisciplinary approach on the success of such protocols has not been fully examined. Methods: The study was conducted in a tertiary care medical-surgical ICU as a prospective, 4-pronged, observational study describing a qualityimprovement initiative that employs 2 types of controlled comparisons: a “before and after” comparison related to intense education of ICU clinicians and nurses about sedation and analgesia in the ICU, and a comparison of protocolized versus non-protocolized care. Patients were assignedalternatively to receive sedation by a goal-directed protocol using the Riker Sedation-Agitation Scale (SAS) or by standard practice. A multifaceted multidisciplinary educational program was initiated including the use of
