Evidence map›Paper›PMID 41817661›Full record

ReviewMedizinische Klinik, Intensivmedizin und Notfallmedizin2026

[Pharmacotherapy in the geriatric intensive care patient: sedation and anti-infective treatment].

S Schubert, J Hähner, Priyanka Böttger, H Lemm, Michael Buerke

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2026. 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
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.

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

5 authors.

S SchubertApotheke der Universitätsmedizin, Johannes-Gutenberg-Universität Mainz, Mainz, Deutschland.
J HähnerApotheke, St. Marien-Krankenhaus Siegen, Siegen, Deutschland.
Priyanka BöttgerMedizinische Klinik I, Kardiologie, Angiologie und Intensivmedizin, Universitätsklinikum Gießen, Gießen, Deutschland.ORCID http://orcid.org/0009-0004-0534-132X
H LemmMedizinische Klinik II, Kardiologie, Angiologie, Internistische Intensivmedizin, St. Marien-Krankenhaus Siegen, Kampenstraße 51, 57072, Siegen, Deutschland.
Michael BuerkeMedizinische Klinik II, Kardiologie, Angiologie, Internistische Intensivmedizin, St. Marien-Krankenhaus Siegen, Kampenstraße 51, 57072, Siegen, Deutschland. mbuerke@gmail.com.ORCID http://orcid.org/0009-0009-5477-9957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Older intensive care unit (ICU) patients are particularly vulnerable to adverse drug reactions, delirium, and treatment failure due to age-related changes in pharmacodynamics (PD) and pharmacokinetics (PK), compounded by the dynamic pathophysiology of critical illness. This review focuses on sedatives/analgesics and anti-infective agents. For analgosedation, an analgesia-first strategy, protocol-based light sedation (awake and cooperative whenever feasible), rigorous delirium management, and avoidance of continuous benzodiazepine infusions are recommended. In anti-infective therapy, key priorities include achieving PK/PD targets, daily dose adjustment to current drug clearance, de-escalation, and early therapeutic drug monitoring (vancomycin, aminoglycosides; selectively also β‑lactams).

Indexed as

AnalgesicsAnti-Infective AgentsCritical CareHypnotics and SedativesIntensive Care UnitsProcedural SedationAged, 80 and overDeliriumDrug MonitoringHumansAnalgesicsAnti-Infective AgentsHypnotics and SedativesAntibiotic stewardshipDeliriumDrug monitoringGeriatricsSedatives

Identifiers

What OpenQuestion holds

Textmetadata
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.