You have just intubated a patient for respiratory failure and will be initiating a sedation regimen.
Which of the following would be the LEAST preferred choice for sedation?
A. MidazolamCorrect Answer: A
The 2018 Society for Critical Care Medicine Clinical Practice Guidelines for management for pain and agitation/sedation recommend propofol or dexmedetomidine over benzodiazepines for sedation for shorter duration of mechanical ventilation. Benzodiazepine-based sedation regimens are strongly associated with ICU delirium and thus are the least preferred choice. The guidelines also recommend a protocol-based pain assessment for treating pain before assessing the need for sedation.
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