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CC BY 4.0 · Indian Journal of Neurotrauma 2024; 21(01): 087-089
DOI: 10.1055/s-0043-1762599
Correspondence

Sedation Vacation in Neurocritical Care: A Proposal Algorithm

Luis Rafael Moscote-Salazar
1   Department of Critical Care Medicine, Physician Regional Medical Center, Naples, Florida, United States
,
William A. Florez-Perdomo
1   Department of Critical Care Medicine, Physician Regional Medical Center, Naples, Florida, United States
,
Tariq Janjua 
2   Colombian Clinical Research Group in Neurocritical Care, Bogota, Colombia
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Abstract

Daily sedation interruption or sedation vacation is a strategy for neurological evaluation, respiratory mechanics, cardiac stability, and eventual weaning to extubation. However, its application has safety aspects such as pulmonary, cardiac, and neurological complications. A protocol-driven sedation vacation in the medical intensive care helps with the reduction in the intensive care length of stay and increase in ventilator-free days.1,2 The same approach can be used in neurointensive care with alterations based upon the neurocritical care progression.

Keywords

critical care - neurocritical care - neurosurgery - neurotrauma - sedation


Publication History

Article published online:
01 March 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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