You are visiting a website that is not intended for your region

The page or information you have requested is intended for an audience outside the United States. By continuing to browse you confirm that you are a non-US resident requesting access to this page or information.

Switch to the US site

Select Your Country or Region
Continue
COVID-19 Resource Center
Dr Torben Andersen, Vejle Hospital, wide angle

How to keep your patients less sedated during mechanical ventilation.

Topics

Less sedated ICU patient during mechanical ventilation.

Dr Torben Steensgard Anderssen - Senior consultant ICU at Vejle Hospital explain through those two videos the benefits of the low sedation ventilation strategy. 

He explains that the key to having less sedated and actively participating patients is to be able to meet their breathing needs. To try and sustain their natural breathing effort as much as possible.

The clinical experience of less sedation and more awake patients

Dr Andersen is able to communicate with his patients at almost any time. Watch the video and learn more about his work and what challenges he faced when lowering the sedation. From the science behind the decision to their clinical experience today.

"We are able to communicate with our patients at almost any time", says Dr Andersen.

The key to having less sedated and actively participating patients is to be able to meet their breathing needs. To try and sustain their natural breathing effort as much as possible.

This is when monitoring the electrical activity of the diaphragm (Edi), has become especially useful for Dr. Andersen. It has helped him identify patient-ventilator asynchrony and reduce over-sedation and over-assist.

Personalizing ventilation in the ICU

It can be challenging to identify how much ventilatory support the patient really needs. With Edi, the electrical activity of the diaphragm, you can identify and reduce over-sedation, over-assist, and asynchrony. This can help you start the weaning process earlier. [1] [2] [3]

Related articles

  • Intensive Care

Hemodynamic Management in Sepsis Patients

Everyone is at risk of developing sepsis. Globally, up to 50 million people are affected by sepsis, every year. Every 2.8 seconds, one patient dies from sepsis and associated complications. Often, it can be prevented by vaccination, clean water and hygiene, safe childbirth, and preventing hospital-acquired infections (HAIs). However, sepsis is often underdiagnosed, especially at an early stage where treatments are more successful.

Read more

  • Intensive Care

ARDS

Acute respiratory distress syndrome (ARDS) is a serious lung condition that causes low blood oxygen. The incidence of ARDS varies widely.

Read more

  • Operating Room
  • Intensive Care

Understand hemodynamic data at a glance

Hemodynamic insights present valuable knowledge for physicians. In the OR, patients undergoing surgeries always benefit from close vigilance. Optimal perioperative fluid administration is the key for a successful recovery. In the ICU, the life of critically ill patient depends on the right decision for the next therapeutic step.

Read more

  • Intensive Care

Mechanically ventilated patient: why diaphragm matters?

The presence of diaphragm weakness significantly increases the risk of difficult weaning, prolonged weaning and hospital mortality, says Dr Ewan Goligher, referencing a recent study on the topic.

Read more

  • Intensive Care

Ventilator ease of use affect patient safety

Ease of use can have an impact on patient safety and staff routine. This article will provide you access to a study about the correlation between ease of use and patient safety. You will also be able to download a form to help you in the comparison process when investing in new equipment.

Read more

  • Intensive Care

Monitor diaphragm and improve mechanical ventilation

Respiratory support is a lifesaving intervention in the ICU, but without the right balance it also increases the risk of detrimental outcomes.1,2 This is when diaphragm monitoring can help, because it is a marker of outcomes such as hospital mortality and prolonged weaning. Furthermore, it can help you make more informed therapy decisions throughout respiratory treatment.

Read more

All references

  1. Kallio M, et al. Neurally adjusted ventilatory assist (NAVA) in pediatric intensive care – a randomized controlled trial. Pediatr Pulmonol. 2015 Jan;50(1):55-62.

  2. Bellani G, Pesenti A. Assessing effort and work of breathing. Curr Opin Crit Care. 2014 Jun;20(3):352-8.

  3. Ducharme-Crevier L, et al. Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Crit Care Res Pract. 2013;2013:384210