A study to find out the current management practices of Sleep inducing methods, Pain reducing methods, and treatment used for management of serious disturbances in brain functions in patients admitted in intensive care units.
- Conditions
- Other specified symptoms and signsinvolving the circulatory and respiratory systems,
- Registration Number
- CTRI/2020/07/026334
- Lead Sponsor
- Tata Memorial Centre
- Brief Summary
Sedationmanagement (medicine and procedures used to keep patient asleep and calm) incritically ill patients has a significant impact on their short-term andlong-term patients condition and disease status. Despite strong evidence andprescriptive international guidelines, there appears to be a huge difference inpractices followed by doctors worldwide. However, there are no large-scalemultinational data describing these practices in the intensive care unit (ICU).
Sandmanstudy is international audit we will collect data in academic and non-academicICUs from all over the world. In this study only data from the patients chartwill be collected. Data regarding sedation (medicine and practices use toinduce sleep in patients), analgesia (pain killers and methods use to reducepain) and delirium (acute state of confusion), their rate of occurrence,various treatment modalities and guidelines followed in treatment will becollected to check whether clinicians stay adhere to guidelines or not.
TataMemorial centre will be one of the participating centre. We will only collectthe data related to patient’s demographics like ICU admission and dischargedate, reason of admission, age sex, disease condition, treatment receivedduring ICU stay a) like sedation medicine used, reason to use, dose and type ofmedicines used, b) medication used to treat agitation or restlessness and totreat psychological conditions. c) rate of occurrence of acute mental confusionamong patient admitted in ICU, d) use of pain killer practices and medicationused in ICU.
It is importantto understand current practices around the world. The data generated from thisstudy will inform research, educational and quality improvement initiatives fora diverse patient population and help in future patient management.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 2000
- All adults (≥18 years) admitted to a participating ICU who are invasively mechanically ventilated for more than 12 hours will be included.
- We will include medical, surgical, and neurological patients.
There are no exclusion criteria.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To capture an overview of sedation, analgesia and delirium management strategies used in intensive care units around the world. 3 months after enrollment
- Secondary Outcome Measures
Name Time Method To describe international practice in ICU, and practice variation in the use of drugs, and monitoring for PAD; 3 months after enrollment To describe and compare management between specific ICU patient groups:1 Medical patients (specifically sepsis and acute respiratory distress syndrome (ARDS)) 2 Surgical patients To quantify the adherence to the PAD clinical guidelines 3 months after enrollment
Trial Locations
- Locations (1)
Tata Memorial Hospital
🇮🇳Mumbai, MAHARASHTRA, India
Tata Memorial Hospital🇮🇳Mumbai, MAHARASHTRA, IndiaDr Sheila MyatraPrincipal investigator09820156070sheila150@hotmail.com