Evidence map›Paper›PMID 31951658›Full record

ArticleAACN advanced critical care2019

Opioid and Benzodiazepine Iatrogenic Withdrawal Syndrome in Patients in the Intensive Care Unit.

Carmen Mabel Arroyo-Novoa, Milagros I Figueroa-Ramos, Kathleen A Puntillo

Abstract read
In one paragraph

Article in AACN advanced critical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Sedation and analgesia strategies in the neuro intensive care unit.World journal of critical care medicine · 2025
    Review
  7. Article
  8. Article
  9. Perioperative Anxiety and Depression in Older Adults: Epidemiology and Treatment.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Analgesia and sedation in patients with ARDS.Intensive care medicine · 2020
    Review
  16. Clinical Utility of the Behavioral Pain Assessment Tool in Patients Admitted in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Article
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

3 authors.

Carmen Mabel Arroyo-NovoaCarmen Mabel Arroyo-Novoa is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067 (carmen.arroyo1@upr.edu). Milagros I. Figueroa-Ramos is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, San Juan, Puerto Rico. Kathleen A. Puntillo is Professor Emeritus, Physiological Nursing Department, University of California, San Francisco, School of Nursing, San Francisco, California.
Milagros I Figueroa-RamosCarmen Mabel Arroyo-Novoa is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067 (carmen.arroyo1@upr.edu). Milagros I. Figueroa-Ramos is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, San Juan, Puerto Rico. Kathleen A. Puntillo is Professor Emeritus, Physiological Nursing Department, University of California, San Francisco, School of Nursing, San Francisco, California.
Kathleen A PuntilloCarmen Mabel Arroyo-Novoa is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067 (carmen.arroyo1@upr.edu). Milagros I. Figueroa-Ramos is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, San Juan, Puerto Rico. Kathleen A. Puntillo is Professor Emeritus, Physiological Nursing Department, University of California, San Francisco, School of Nursing, San Francisco, California.

Funding

Hispanic Clinical and Translational Research Education and Career Development ProgramR25MD007607 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI Karen G. Martinez Gonzalez, Barbara Segarra-Vazquez · 2012 to 2026
$7.4M
NIMHD NIH HHS R25 MD007607
6 · The paper itself

Abstract

Iatrogenic withdrawal syndrome is an increasingly recognized issue among adult patients in the intensive care unit. The prolonged use of opioids and benzodiazepines during the intensive care unit stay and preexisting disorders associated with their use put patients at risk of developing iatrogenic withdrawal syndrome. Although research to date is scant regarding iatrogenic withdrawal syndrome in adult patients in the intensive care unit, it is important to recognize and adequately manage iatrogenic withdrawal syndrome in order to prevent possible negative outcomes during and after a patient's intensive care unit stay. This article discusses in depth 8 studies of iatrogenic withdrawal syndrome among adult patients in the intensive care unit. It also addresses important aspects of opioid and benzodiazepine iatrogenic withdrawal syndrome, including prevalence, risk factors, and assessment and considers its prevention and management.

Indexed as

Practice Guidelines as TopicAdultAgedAged, 80 and overAnalgesics, OpioidBenzodiazepinesCritical CareFemaleHumansMaleMiddle AgedRisk FactorsSubstance Withdrawal SyndromeAnalgesics, OpioidBenzodiazepinesbenzodiazepinescritical careiatrogenic withdrawal syndromeopioidspain management

Identifiers

PMID31951658
PMCPMC7017678

What OpenQuestion holds

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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.