Practice of analgesia and sedation in adult mechanically ventilated patients in South African ICUs

Simple item page
dc.contributor.authorHendricks, Nicole Emaline
dc.date.accessioned2021-10-07T10:50:13Z
dc.date.available2021-10-07T10:50:13Z
dc.date.issued2020
dc.descriptionA research report submitted in partial fulfilment of the requirements for the degree of Master of Medicine in the branch of Anaesthesiology to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, 2020en_ZA
dc.description.abstractBackground Pain and agitation are experienced in the intensive care unit (ICU) during mechanical ventilation. There is a move toward analgesia and away from sedation to avoid the negative sequelae of sedation and to ensure a calm, comfortable patient. The ICU practice of analgesia and sedation have been described internationally, but not in South Africa. Objectives The aim of this study is to describe the practice of analgesia and sedation by doctors in adult mechanically ventilated patients in ICUs in South Africa. Methods This study used a descriptive, prospective, contextual study design. A convenience sampling method was used with distribution of a questionnaire at the Critical Care Society of Southern Africa congress in 2018. Results- The Visual Analog Scale (VAS) and the Richmond Agitation-Sedation Scale (RASS) were the most used scales for analgesia and sedation assessment, respectively. Morphine was the drug most used for both analgesia and sedation. The benzodiazepine midazolam was the second most used sedative (31%). Non-pharmacological methods were used by 26.4% of respondents. Patients’ clinical diagnosis was the main factor influencing the selection of analgesics and sedatives, which equated to 65.2% and 74.6%, respectively. Conclusion Analgesia and sedation assessment are performed by most doctors. Morphine is still commonly used, but the use of midazolam remains high despite evidence for its negative sequelae. These practices in ICU may be improved by training doctors in the assessment of patients, drug selection and the implementation of analgesia and sedation guidelines.en_ZA
dc.description.librarianTL (2021)en_ZA
dc.facultyFaculty of Health Sciencesen_ZA
dc.identifier.urihttps://hdl.handle.net/10539/31639
dc.language.isoenen_ZA
dc.schoolSchool of Anaesthesiologyen_ZA
dc.titlePractice of analgesia and sedation in adult mechanically ventilated patients in South African ICUsen_ZA
dc.typeThesisen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
N Hendricks - MMED research document with corrections 19 August 2020 (1).pdf
Size:
1.72 MB
Format:
Adobe Portable Document Format
Description:
Main Work
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
ETD Collection