Before (n =97) | After (n =102) | P -value | |
---|---|---|---|
Sedative and opioid use | |||
Initial sedative, n (%) | |||
Midazolam | 56 (58%) | 28 (27%) | <0.0001 |
Propofol | 39 (40%) | 34 (33%) | 0.315 |
Dexmedetomidine | 2 (2%) | 40 (39%) | <0.0001 |
Second sedative, n (%) | |||
Midazolam | 16 (16%) | 17 (17%) | 0.834 |
Propofol | 9 (9%) | 9 (9%) | |
Dexmedetomidine | 30 (31%) | 37 (37%) | |
Not applicable | 42 (43%) | 38 (38%) | |
Received at any time in ICU, n (%) | |||
Midazolam Infusion | 74 (76%) | 49 (48%) | <0.0001 |
Dexmedetomidine | 38 (39%) | 83 (82%) | <0.0001 |
Propofol | 53 (55%) | 49 (48%) | 0.396 |
Fentanyl infusion | 97 (98%) | 95 (93%) | 0.171 |
Sedative and opioid dosage and duration | |||
Midazolam | |||
Patients receiving, n (%) | 76 (76%) | 49 (48%) | |
Total dose, median (mg) | 143 (91 to 231) | 56 (23 to 137) | 0.0001 |
Infusion duration, hr, median (IQR) | 58 (29 to 103) | 38 (20 to 104) | 0.06 |
Infusion rate, mg/kg/hr, median (IQR) | 0.03 (0.02 to 0.05) | 0.02 (0.01 to 0.04) | 0.0124 |
Dexmedetomidine | |||
Patients receiving, n (%) | 38 (39%) | 84 (82%) | |
Total dose, mg, median (IQR) | 1.8 (0.6 to 3.1) | 2.2 (0.6 to 5.0) | 0.541 |
Infusion duration, hr, median (IQR) | 36 (29 to 65) | 41 (26 to 85) | 0.365 |
Infusion rate, μg/kg/hr, median (IQR) | 0.51 (0.35 to 0.82) | 0.57 (0.35 to 0.89) | 0.921 |
Propofol | |||
Patients receiving, n (%) | 53 (55%) | 50 (48%) | |
Total dose, g, median (IQR) | 4.78 (2.03 to 7.27) | 3.78 (1.94 to 8.93) | 0.797 |
Infusion duration, hr, median (IQR) | 33 (14 to 61) | 33 (15 to 54) | 0.982 |
Infusion rate, μg/kg/min, median (IQR) | 29 (20 to 42) | 29 (28 to 43) | 0.981 |
Fentanyl | |||
Patients receiving, n (%) | 97 (98%) | 95 (93%) | |
Total dose, mg, median (IQR) | 7.85 (4 to 20.3) | 4.10 (2.3 to 14.7) | 0.002 |
Infusion duration, hr, median (IQR) | 84 (36 to 147) | 54 (33 to 128) | 0.078 |
Infusion rate, μg/kg/hr, median (IQR) | 1.5 (0.8 to 2.4) | 1.1 (0.6 to 1.7) | 0.002 |