The effect of the sedation protocol on the level of consciousness in ventilator-dependent trauma patients hospitalized in Intensive Care Unit( ICU)

AUTHORS

Aliakbar Keykhah , *

How to Cite: Keykhah A. The effect of the sedation protocol on the level of consciousness in ventilator-dependent trauma patients hospitalized in Intensive Care Unit( ICU), Med Surg Nurs J. 2015 ; 4(1):e88119.

ARTICLE INFORMATION

Medical - Surgical Nursing Journal: 4 (1); e88119
Published Online: July 12, 2018
Article Type: Abstract
Received: December 23, 2018
Accepted: February 04, 2015

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Abstract

Background& Objective: The ultimate goal of treatment of patients in intensive care unit is increasing their level of consciousness. The present study was conducted aimed to determine the effect of sedation protocol on level of consciousness in ventilator-dependent trauma patients who hospitalized in intensive care unit.

 Material & Methods: This quasi-experimental study was conducted on 80 patients undergoing mechanical ventilation in intensive care units (ICU) of selected hospitals in Zahedan in 2013. At first, patients were selected through purposive sampling and then randomly allocated into intervention and control groups. Patients in intervention group received the sedation protocol proposed by Society of Critical Care Medicine. Data were gathered through Richmond-Agitation Sedation Scale, behavioral pain scale and Glasgow Coma Scale. Data were analyzed in SPSS 18 through using the independent t-tests.

 Results: Level of patient’s sedation was near to ideal score for Richmond in intervention group in compare with the patients in control group (-1 to +1). There was significant difference between two groups regarding the relaxation of patients (p<0.001). Also, the level of consciousness in patients has significant increase in intervention group in compare with control group (p=0.02) 

Conclusion: The results showed that the use of sedation protocol can increase the level of consciousness in the hospitalized patients in intensive care unit. Thus, it is recommended that this protocol was used by nurses.

Keywords

Sedation protocol Glasgow Coma Scale trauma Intensive Care Unit

© 2015, Medical - Surgical Nursing Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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