What does Analgosedation mean?

What does Analgosedation mean?

Analgosedation. There are two types of analgosedation. One is “analgesia-based sedation” which refers to the use of an analgesic instead of a sedative to reach the sedative goal. The other is “analgesia-first sedation” which refers to the use of an analgesic before a sedative to reach the sedative goal (Figure 2).

What is analgesia first sedation?

Analgesia-first sedation (AFS) (or analgosedation) promotes the use of analgesics (usually an opioid) rather than a sedative such as propofol or a benzodiazepine [2].

What is general anesthesia vs sedation?

Sedation, together with analgesia, amnesia and muscle paralysis, is the end result of general anesthesia, which is an induced, reversible and controlled loss of consciousness. Sedation, on its own, is the depression of awareness, whereby a patient response to external stimuli becomes limited.

What is the Riker scale?

The Riker Sedation-Agitation Scale uses a numeric score from 1 to 7 to assess the level of patient sedation and is especially adapted to warn the clinician of “unarousable” and “dangerous agitation” levels of patient sedation, which is not provided by the Ramsay Sedation Score (Table 33-2).

What is CAM ICU?

What it measures: The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is a tool used to assess delirium among patients in the intensive care unit. It is an adaptation of the CAM which was originally developed to allow non-psychiatrists to assess delirium at bedside.

What type of drug is alfentanil?

Alfentanil belongs to a class of medicines called opioids, which relieve or prevent pain. Alfentanil is a strong painkiller which has a very rapid effect. Alfentanil is used for surgical procedures. Artificially ventilated patients may remain awake if they have appropriate pain control.

What is the half life of propofol?

Half-life: Propofol is bi-phasic, with its initial half-life being relatively quick, around 40 minutes, and its terminal half-life usually being 4 to 7 hours. Context-sensitive half-time may be up to 1 to 3 days after a 10-day infusion.

Is propofol better than general anesthesia?

Patients who received propofol for general anaesthesia experienced less pain post-operatively. Patient satisfaction, as a relevant patient-reported outcome measure, was significantly in favour of propofol as suggested by a higher number of satisfied patients as well as better satisfaction scores.

When do you use Riker scale?

Anxiety and Agitation in the Intensive Care Unit Pain, anxiety, and delirium are the most common causes requiring medication. Rating scales such as the numeric (pain) rating scale and the Riker Sedation-Agitation Scale should be used to assess response to treatment.

What is a SAS score?

1. Agitated patients are scored by their most severe degree of agitation as described. 2. If patient is awake or awakens easily to voice (“awaken” means responds with voice or head shaking to a question or follows commands), that’s a SAS 4 (same as calm and appropriate – might even be napping).