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***POSSIBLE SPAM*** Sedation Weaning

Wolfer, Rebecca wolferr at marshall.edu
Fri Oct 7 12:58:08 BST 2005

We have found that you need to wean over several days and start po ativan and Methadone in tapering doses to help and prevent withdrawl.  We are also moving away from "heavily sedating" if possible as recent studies  show that heavy sedation increases morbidity and mortality.  RW

	-----Original Message----- 
	From: trauma-list-bounces at trauma.org on behalf of Angela Rzepecki 
	Sent: Fri 10/7/2005 7:47 AM 
	To: trauma-list at trauma.org 
	Subject: ***POSSIBLE SPAM*** Sedation Weaning

	Hello List!


	I’m new to this list so wanted to introduce myself and ask for some input from fellow members here.

	I was wondering if any of you would be willing to share sedation weaning guidelines and protocols that your institution uses. I’m especially interested in hearing about protocols that are geared toward patient populations who have been heavily sedated for over a week.  I have worked in hospitals where we had protocols that helped nursing staff titrate sedation drips off gradually over several hours and then began a regimen of scheduled ativan and haldol round the clock to help lessen the risks of withdraw. 

	I work in a critical care unit that cares for trauma and burn patients. Very often our big burns require large amounts of fentanyl and versed via continuous infusions for weeks or months.  My institution does not presently practice with a protocol for weaning such patients and I’m curious to hear about what other hospitals and nursing staffs are doing to protect these patients from the negative effects of rapid sedation weaning and potential psychosis. 

	Thank you for any input you can offer.


	Angela Kammerer RN BSN

	Surgical Trauma Intensive Care Unit & Burn Center

	University of Virginia Medical Center


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