Data from our recently published survey indicate that awareness concerning a systematic management of delirium, sedation and analgesia in ICU patients is increasing. Fourty-four percent of ICUs that participated in our survey reported to routinely monitor for delirium with a validated score. Thirty-five percent had implemented validated scores for delirium, sedation and analgesia.
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Should we Abandon Benzodiazepines from the ICU? /
Non-pharmacological interventions for the management of symptoms like anxiety or hallucination are preferable. Furthermore, conditions like insufficient analgesia or a beginning sepsis should be excluded. However, if symptoms persist, a pharmacological treatment is necessary. Benzodiazepines may continue to play an important role in treating persistent anxiety and agitation in critically ill patients.
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