agitation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) aged >= 16 years; (2) body temperature (axillary temperature) >= 38.2 degree C; (3) septic shock + inhaled oxygen concentration >= 55% (PaO2 / FiO2 24 hours. Patients who match (1) + (2) + (4) or (1) + (3) + (4).
Exclusion criteria
Exclusion criteria: (1) pregnant or lactating women; (2) allergic to research medications or have other contraindications; (3) taking sedatives >= 1 month, opioid addicts; (4) patients with persistent epilepsy or GCS 48h); (7) patients after cardiopulmonary resuscitation; (8) patients who were not treated with beta blockers had a heart rate 24 hours, or patients who have undergone tracheotomy; (10) Patients with endotracheal intubation due to pathological airway obstruction or stenosis; (11) intemperant or alcohol dependent patients; (12) mental illness, dementia or other cognitive dysfunction; (13) drug users; (14) palliative treating patients; (15) dying patients; (16) patients or legal representatives refuse to sign informed consent .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of agitation within three days;Sedation strength (RASS score/number of evaluations)Within three days; | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient recruitment rate (person/week);Start time of randomization;Cumulative use of analgesics and sedatives;First successful offline time (randomize start time to successful SBT);Time of successful extubation (at least 48h from randomization to removal of endotracheal tube);Accidental removal rate of medical devices;Incidence of deep sedation;Delirium incidence;The incidence of VAP;Non-mechanical ventilation time within 28 days after randomization;Tracheotomy rate;Rate of reintubation;ICU mortality and length of stay;Mortality within 28 days; | — |
Countries
China
Contacts
The 8th Medical Center of Chinese PLA General Hospital