ICU patients on a ventilator Mechanical ventilated ICU patients
Conditions
Interventions
In this intervention trial eligible patients will receive remimazolam for
long-term sedation. Any sedatives, i.e. propofol 0-4 mg/kg/h, and analgesics,
i.e. sufenta 5-20 µg/h, used before study enro
Sponsors
Elisabeth-Tweesteden ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: *Admission to the ICU of the Elisabeth-TweeSteden Ziekenhuis *Age 18 years or older *Invasive mechanical ventilation *Target RASS -3 to -5 *Expected stay in the ICU > 3 days *Renal failure according to KDIGO criteria (eGFR
Exclusion criteria
Exclusion criteria: *Traumatic brain injury with deep sedation (RASS -5), aneurysmal subarachnoid hemorrhage with Glasgow Coma scale
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The ICU length of stay (in 24h periods) in critically ill patients with renal failure treated with a sedation regimen with remimazolam, compared to patients with renal failure treated with a sedation regimen with midazolam. | — |
Secondary
| Measure | Time frame |
|---|---|
| *Duration to Richmond Agitation Sedation Scale (RASS) 0/-1 after cessation of remimazolam or midazolam *Duration of invasive mechanical ventilation *Cumulative dose of vasopressors during stay in the ICU *Delirium after cessation of remimazolam or midazolam *Hospital LOS *ICU mortality *Hospital mortality | — |
Countries
Netherlands
Outcome results
None listed