Alternative Regimens of Sedation and Analgesia for Mechanically Ventilated Patients in the Surgical Intensive Care Unit

Authors

Mark Mastromonaco, Beaumont Health Resident
Emily Katz, Beaumont Health
Roy G. Soto, Beaumont Health

Document Type

Conference Proceeding - Restricted Access

Publication Date

10-20-2019

Abstract

An 82 year old male with paroxysmal atrial fibrillation and HFrEF presented with chest pain requiring cardiac catheterization with subsequent biventricular ICD placement. Patient’s postoperative course was complicated by IV fluid overload resulting in pulmonary edema, which necessitated mechanical ventilation. Fentanyl and propofol were administered for pain and sedation, respectively. Patient became hypotensive, which required Levophed, and attempts to curb propofol resulted in desynchronization with the ventilator. Patient was unable to successfully wean ventilation and was transitioned into palliative care. This presentation will examine alternative sedation and analgesic regimens to optimize cardiopulmonary status for a successful liberation from ventilator support.

Comments

American Society of Anesthesiology, Anesthesiology 2019. Orlando, FL. October 19-23, 2019.

Recommended Citation

Mastromonaco M, Katz E, Soto RG. Alternative regimens of sedation and analgesia for mechanically ventilated patients in the surgical intensive care unit. Oral presentation Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL. October 19-23, 2019.