Evidence map›Paper›PMID 29437074›Full record

Trial reportCritical care nurse2018

Letting the Patient Decide: A Case Report of Self-Administered Sedation During Mechanical Ventilation.

Breanna Hetland, Sarah Maryon Hayes, Debra Skaar, Mary Fran Tracy, Craig R Weinert, Linda Chlan

Abstract readCase ReportsRandomized Controlled Trial
In one paragraph

Trial report in Critical care nurse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 99% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Breanna HetlandBreanna Hetland is an assistant professor at the University of Nebraska Medical Center College of Nursing, Omaha, Nebraska. breanna.hetland@unmc.edu.
Sarah Maryon HayesBreanna Hetland is an assistant professor at the University of Nebraska Medical Center College of Nursing, Omaha, Nebraska.
Debra SkaarBreanna Hetland is an assistant professor at the University of Nebraska Medical Center College of Nursing, Omaha, Nebraska.
Mary Fran TracyBreanna Hetland is an assistant professor at the University of Nebraska Medical Center College of Nursing, Omaha, Nebraska.
Craig R WeinertBreanna Hetland is an assistant professor at the University of Nebraska Medical Center College of Nursing, Omaha, Nebraska.
Linda ChlanBreanna Hetland is an assistant professor at the University of Nebraska Medical Center College of Nursing, Omaha, Nebraska.
University of Minnesota · USMayo Clinic · USNebraska Medical Center · USSaint Mary's University of Minnesota · USUniversity of Minnesota Medical Center · US

Funding

Symptom Management and Palliative Care Research in Adults with Advanced DiseaseT32NR014213 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI DALY, BARBARA · 2013 to 2017
$1.6M
Testing the feasibility of patient-controlled sedation in ventilated ICU patientsR21NR012795 · NINR · UNIVERSITY OF MINNESOTA · PI WEINERT, CRAIG R · 2012 to 2013
$377k
NINR NIH HHS R21 NR012795NINR NIH HHS T32 NR014213
6 · The paper itself

Abstract

It is common for critical care nurses to administer sedative medications to patients receiving mechanical ventilation. Although patient-controlled analgesia is frequently used in practice to promote effective self-management of pain by patients, it is not known if patient-controlled sedation can be used to promote effective self-management of distressing symptoms associated with mechanical ventilation. A randomized pilot trial was conducted to evaluate whether patient self-administered sedation with dexmedetomidine is safe and acceptable for self-management of anxiety during ventilator support. This case report details the experiences of one patient enrolled in the pilot trial who was randomly assigned to the experimental dexmedetomidine intervention, completed the study protocol, and provided feedback. In a poststudy survey, the patient responded positively to the use of self-administered sedation with dexmedetomidine during ventilator support.

Indexed as

Patient ParticipationPatient SatisfactionDexmedetomidineEducation, Nursing, ContinuingFemaleHumansHypnotics and SedativesMiddle AgedPainPilotsRespiration, ArtificialSelf AdministrationTreatment OutcomeDexmedetomidineHypnotics and Sedatives

Identifiers

PMID29437074
PMCPMC5880539
OpenAlexW2786952493

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.