Start Date

5-28-2020 9:00 AM

End Date

5-28-2020 5:00 PM

Description

The COVID-19 pandemic has led to a proliferation of patients developing ARDS and requiring prolonged supportive care on mechanical ventilation. As a result, patients need elevated levels of sedation, often on multiple agents for a period greater than typically seen in an ICU population. As a result of this high sedation phenomenon, patients are developing higher rates of expected complications including severe constipation, neurocognitive delay, ICU myopathy, poor sedation weaning, and high pain control requirements. These complications lead to an increased rate of mortality in a population that is already very high and decreases the rate of successful extubation and discharge.

Keywords

COVID-19, SARS-CoV-2, coronavirus

Comments

Presented at the 2020 House Staff Quality Improvement and Patient Safety Conference

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May 28th, 9:00 AM May 28th, 5:00 PM

#Team-based approach to sedation management in patients with SARS CoV-2 aka COVID-19 in the medical ICU

The COVID-19 pandemic has led to a proliferation of patients developing ARDS and requiring prolonged supportive care on mechanical ventilation. As a result, patients need elevated levels of sedation, often on multiple agents for a period greater than typically seen in an ICU population. As a result of this high sedation phenomenon, patients are developing higher rates of expected complications including severe constipation, neurocognitive delay, ICU myopathy, poor sedation weaning, and high pain control requirements. These complications lead to an increased rate of mortality in a population that is already very high and decreases the rate of successful extubation and discharge.