Critical Illness, Delirium, Low Blood Pressure
Conditions
Brief summary
To assess the impact of daily awakening from sedation on the amount of vasoactive medication required in the ICU. The hypothesis of this proposal is that the amount of vasoactive drug required to maintain an adequate mean arterial blood pressure will be reduced during a daily awakening from sedation.
Detailed description
This observational study will compare mean arterial pressure and vasoactive drug dose recorded at two time points: 1. prior to awakening from sedation 2. during the awakening from sedation trial The vasoactive infusion will be titrated to a mean arterial pressure as determined by the medical team prior to study enrollment. Each enrolled patient will have measurements taken only on the first day of enrollment. Enrolled subjects will also have a delirium assessment using the CAM-ICU tool before the awakening from sedation trial and during the awakening from sedation trial.
Interventions
vital signs and delirium assessment (CAM-ICU) at baseline then following routine sedation awakening trial. Patient will thus serve as their own control for these interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* requiring Mechanical ventilation through an endotracheal tube with infusion of sedative or analgesic agent for comfort * requiring vasoactive drug via central venous catheter for the treatment of shock
Exclusion criteria
* patients receiving Dexmedetomidine as sedative
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in vasoactive drug dose | baseline thru study completion on average < 4 hrs | mcg/kg/min baseline dose and nadir dose |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in mean arterial blood pressure | baseline thru study completion on average <4 hrs | mm Hg |
| change in prevalence of ICU delirium | baseline thru study completion on average <4hrs | CAM ICU score |
Countries
United States
Contacts
University of Chicago