Emergency department sedation of ventilated adults

This algorithm is a general guideline for the use of analgesics and sedatives. Refer to the text for clinical and pharmacologic issues that dictate optimal drug selection, recommended assessment scales, and precautions for patient monitoring. Doses are approximate for a 70-kg adult.

IVP: intravenous push.
* Numeric rating scale or other pain scale.
¶ Riker Sedation-Agitation Scale or other sedation scale.
Δ Confusion Assessment Method for the ICU.

Adapted from: Jacobi, J, Fraser, GL, Coursin, DB, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 2002; 30:119. Official Journal of the Society of Critical Care Medicine, Copyright © 2002 Society of Critical Care Medicine.

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Emergency department sedation of ventilated adults