ArticleCritical care (London, England)2007
Changes in sedation management in German intensive care units between 2002 and 2006: a national follow-up survey.
Article in Critical care (London, England), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06991777 (Feasibility Study), which is not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Feasibility Study: Precision Sedation in Intensive Care Using Neurophysiologic and Respiratory Targets.
Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 132 citations in OpenAlex.
- BIS monitoring versus clinical assessment for sedation in mechanically ventilated adults in the intensive care unit and its impact on clinical outcomes and resource utilization.The Cochrane database of systematic reviews · 2018Pooled it
- Dexmedetomidine versus standard care sedation with propofol or midazolam in intensive care: an economic evaluation.Critical care (London, England) · 2015Pooled it
- The incidence of sub-optimal sedation in the ICU: a systematic review.Critical care (London, England) · 2009Pooled it
- Risk assessment for cardiovascular adverse drug events in the ICU: Case study on COVID-19 patients.PloS one · 2026Article
- Ketamine sedation in critically ill patients: Past, present and future.Indian journal of anaesthesia · 2024Article
- Sedation, sleep-promotion, and non-verbal and verbal communication techniques in critically ill intubated or tracheostomized patients: results of a survey.BMC anesthesiology · 2022Article
- Efficacy and safety of ketamine in mechanically ventilated intensive care unit patients: a scoping review.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2022Article
- Medication Safety in Intravenous Therapy: A Compatibility Study of Clonidine with Drugs Frequently Used in Intensive Care.Pharmaceutics · 2020Article
- Observational
- Management of pain, anxiety, agitation and delirium in burn patients: a survey of clinical practice and a review of the current literature.Annals of burns and fire disasters · 2018Article
- [Pain therapy in intensive care patients].Der Anaesthesist · 2018Review
- Analgosedation of adult patients with elevated intracranial pressure : Survey of current clinical practice in Austria.Wiener klinische Wochenschrift · 2018Article
- Acute transient spinal paralysis and cardiac symptoms following an accidental epidural potassium infusion - a case report.BMC anesthesiology · 2017Article
- Multicenter assessment of sedation and delirium practices in the intensive care units in Poland - is this common practice in Eastern Europe?BMC anesthesiology · 2017Article
- Analgesia, sedation and arousal status in burn patients: the gap between recommendations and current practices.Annals of burns and fire disasters · 2017Article
- A National Multicenter Survey on Management of Pain, Agitation, and Delirium in Intensive Care Units in China.Chinese medical journal · 2017Article
- The Benefit of Benzodiazepine Reduction: Improving Sedation in Surgical Intensive Care.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2017Article
- National survey and point prevalence study of sedation practice in UK critical care.Critical care (London, England) · 2016Article
- [Knowledge and implementation of the S3 guideline on delirium management in Germany].Der Anaesthesist · 2016Article
- [Analgesia in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2016Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study, conducted in 2006, was to find out whether changes in sedation management in German intensive care units took place in comparison with our survey from 2002.
methodsWe conducted a follow-up survey with a descriptive and comparative cross-sectional multi-center design. A postal survey was sent between January and May 2006, up to four times, to the same 269 hospitals that participated in our first survey in 2002. The same questionnaire as in 2002 was used with a few additional questions.
resultsTwo hundred fourteen (82%) hospitals replied. Sixty-seven percent of the hospitals carried out changes in sedation management since the 2002 survey. Reasons for changes were published literature (46%), national guidelines (29%), and scientific lectures (32%). Sedation protocols (8% versus 52%) and a sedation scale (21% versus 46%) were used significantly more frequently. During sedation periods of up to 24 hours, significantly less midazolam was used (46% versus 35%). In comparison to 2002, sufentanil and epidural analgesia were used much more frequently in all phases of sedation, and fentanyl more rarely. For periods of greater than 72 hours, remifentanil was used more often. A daily sedation break was introduced by 34% of the hospitals, and a pain scale by 21%.
conclusionThe increased implementation of protocols and scoring systems for the measurement of sedation depth and analgesia, a daily sedation break, and the use of more short-acting analgesics and sedatives account for more patient-oriented analgesia and sedation in 2006 compared with 2002.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.