Adult Patients, Patients Covered by French Health Care System, Patients Who Have Given Their Consent, Requiring Sedation by Sevoflurane in ICU
Conditions
Keywords
Sevoflurane, RASS score, Sedation, Minimal alveolar concentration (MAC)
Brief summary
Describe the Richmond Agitation Sedation Scale (RASS) values corresponding to the values of Minimum alveolar concentration of sevoflurane during sedation of patients in ICU
Detailed description
Prospective clinical study in ICU with sedated ventilated patients with sevoflurane using the Mirus® system. Pharmacological study of the concentration-effect relationship by administration at increasing and decreasing concentrations.
Interventions
Short term sedation with sevoflurane in ICU
Sponsors
Study design
Eligibility
Inclusion criteria
* Requiring sedation by sevoflurane in ICU * Adult patients * Patients covered by french health care system * Patients who have given their consent or his family
Exclusion criteria
* Pregnant or lactating women * Sevoflurane anaphylaxia * Known or suspected risk of malignant hyperthermia * Refusal Protocol * Brain-damaged patients * Hemodynamic conditions not compatible with the use of sevoflurane * ARDS patients * Minor patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Description of the RASS score | at day 1 | Describe the RASS score corresponding to the values of sevoflurane MAC during sedation of patients in ICU : RASS score determined at the middle of each level of 30 minutes, each level correspond to determined sevoflurane MAC with ascending MAC ranging from 0 to 0.8 and then descending MAC from 0.8 to 0. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| determination of the associated hemodynamic and respiratory parameters | at day 1 | Determine the associated hemodynamic and respiratory parameters, bispectral index and analgesia-nociception index for each level of sevoflurane MAC (monitored at the middle of each level of 30 minutes). |
Countries
France