PICO Question Does limited use of sedation drugs with limited length of stay in critical care reduce delirium in critically ill patients compared to patient who are not on sedation drugs in the ICU

 

My research question:

 

 

In critically ill patients in the ICU (P), with limited use of sedation drugs (I), compared to not using sedation drugs (C), reduce delirium (P)?

 

Places to search for information:

 

 

School online library, and google scholar

   

List of sources searched:

 

Date of search

 

Search strategy used, including any limits

 

Total number of results found

 

Comments

1.     Lee, J., Choi, S., Park, Y., Lee, C. H., Lee, S. M., Yim, J. J., … & Kim, Y. (2017). C53 CRITICAL CARE: DELIRIUM AND THE EXPECTED AND UNEXPECTED CONSEQUENCES OF SEDATION/ANALGESIA IN THE ICU: Effect of Recent Alcohol, Smoking and Psychotropic Drug Use on Delirium In ICU. American Journal of Respiratory and Critical Care Medicine, 195.

2.     Lyons, P. G., Snyder, A. M., Edelson, D. P., Mokhlesi, B., & Churpek, M. M. (2016). C50 CRITICAL CARE: DELIRIUM AND SEDATION IN THE ICU: The Association Between Opioid and Benzodiazepine Use on Clinical Deterioration in Hospitalized Patients On The Wards. American Journal of Respiratory and Critical Care Medicine, 193, 1.

3.     Djaiani, G., Silverton, N., Fedorko, L., Carroll, J., Styra, R., Rao, V., & Katznelson, R. (2016). Dexmedetomidine versus propofol sedation reduces delirium after cardiac surgery, a randomized controlled trial. Anesthesiology: The Journal of the American Society of Anesthesiologists, 124(2), 362-368.

 

13 February 2019 Boolean operators 15,700  Using the AND operator was very useful in narrowing the research to only include sedation use and delirium. 1.     Salluh, J. I., Wang, H., Schneider, E. B., Nagaraja, N., Yenokyan, G., Damluji, A., … & Stevens, R. D. (2015). Outcome of delirium in critically ill patients: systematic review and meta-analysis. bmj, 350, h2538.

2.     Vallabhajosyula, S., Kanmanthareddy, A., Morrow, L. E., & Esterbrooks, D. J. (2016). C50 CRITICAL CARE: DELIRIUM AND SEDATION IN THE ICU: Role of Statins in Delirium Prevention in Critically Ill and Cardiovascular Surgery Patients: A Meta-Analysis. American Journal of Respiratory and Critical Care Medicine, 193, 1.

13 Feb 2019 Truncation 15, 000  This strategy was useful in restricting the search to a word stem. 1.     Lyons, P. G., Snyder, A. M., Edelson, D. P., Mokhlesi, B., & Churpek, M. M. (2016). C50 CRITICAL CARE: DELIRIUM AND SEDATION IN THE ICU: The Association Between Opioid And

2.      Benzodiazepine Use on Clinical Deterioration in Hospitalized Patients on The Wards. American Journal of Respiratory and Critical Care Medicine, 193, 1.

3.     Lee, J., Choi, S., Park, Y., Lee, C. H., Lee, S. M., Yim, J. J., … & Kim, Y. (2017). C53 CRITICAL CARE: DELIRIUM AND THE EXPECTED AND UNEXPECTED CONSEQUENCES OF SEDATION/ANALGESIA IN THE ICU: Effect of Recent Alcohol, Smoking and Psychotropic Drug Use on Delirium In ICU. American Journal of Respiratory and Critical Care Medicine, 195.

14 Feb. 2019 Parentheses 15,600   This strategical was helpful in making the search logical by pacing sedation use and delirium appear on the same search. 1.     Jackson, P., & Khan, A. (2015). Delirium in critically ill patients. Critical care clinics, 31(3), 589-603.

2.     Traube, C., Silver, G., Reeder, R. W., Doyle, H., Hegel, E., Wolfe, H. A., … & Buttram, S. D. (2017). Pediatric delirium in critically-ill children: An international point prevalence study. Critical care medicine, 45(4), 584.

14 Feb 2019

 

 

 

 

Phrase searching 15, 000  This method was pivotal in searching all the documents with sedation and delirium phrases