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Should Intensive Care Unit Patients Be Deeply Sedated?

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You’re Wrong, I’m Right

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Abstract

A 75-year-old man is admitted to the surgical intensive care unit (ICU) after an emergent laparotomy for perforated bowel. His medical history includes hypertension, diabetes, coronary artery disease, and previous alcohol abuse. On arrival to the ICU, he is acidotic and in septic shock, requiring norepinephrine and vasopressin infusions. Progressively over the next few hours in the ICU, vasopressor support has decreased and lactic acidosis is improving, but he now has acute respiratory distress syndrome (ARDS) and is being mechanically ventilated with lung protective ventilation. It is expected that his length of mechanical ventilation will exceed 48 h.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University Langone Medical Center, 550 First Avenue, New York, New York, 10016, USA

    Caitlin J. Guo

Authors
  1. Caitlin J. Guo
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Corresponding author

Correspondence to Caitlin J. Guo .

Editor information

Editors and Affiliations

  1. Clinical Professor of Anesthesiology, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, USA

    Corey S. Scher MD

  2. Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois, USA

    Anna Clebone MD

  3. Clinical Professor of Anesthesiology (Emeritus), Former Assistant Director of Anesthesiology, Bellevue Hospital Center Retired from Department of Anesthesiology, Bellevue Hospital Center, New York University School of Medicine, New York, New York, USA

    Sanford M. Miller MD

  4. Clinical Associate Professor of Anesthesiology and Surgery, Bellevue Hospital Center, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, Surgical Intensive Care Unit, New York, New York, USA

    J. David Roccaforte MD

  5. Department of Anesthesiology, Perioperative Care and Pain Medicine, Vice Chair Faculty Promotion Associate Director Anesthesia Service Bellevue Hospital Center, New York, New York, USA

    Levon M. Capan MD

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Guo, C.J. (2017). Should Intensive Care Unit Patients Be Deeply Sedated?. In: Scher, C.S., Clebone, A., Miller, S.M., Roccaforte, J.D., Capan, L.M. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_74

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_74

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

  • eBook Packages: MedicineMedicine (R0)

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