Sedation Practices and Preferences of Turkish Intensive Care Physicians: National Survey

NCT03488069 | Completed

• 1 other identifier: 261075
• Study Type: observational
• Target: 429
• Locations: 1 country
• Sites: 1

Brief Summary

Sedation is one of the most common practices applied in intensive care units (ICU) and the management of sedation, analgesia and delirium is a quality measure in ICUs. Several intensive care societies published guidelines regarding the use of sedatives and analgesics recently. In literature there are many survey studies investigating practices of sedation in ICUs of different countries, but knowledge of the sedation practices of intensive care physicians in Turkey is lacking. The aim of this study was to provide a baseline knowledge on this matter and to establish some points to be improved. An electronic survey form, consisting of 34 questions was generated with google forms, posted to 1700 email addresses and 429 returned (25%). The survey included questions about demographics and choices and routines of sedation, analgesia, neuromuscular blockers and delirium administration. Ninety-six percent of the respondents indicated that they practiced sedation in their ICUs and mechanical ventilation was checked as the primary indication (94%). On the question regarding drug choices for sedation, midazolam was the most preferred agent (90%). About pain questions, the most used evaluation tool was visual analogue scale (69.0%) and 83% of the respondents preferred to use tramadol for pain, followed by paracetamol (81.6%). Of the participants, 50.5% indicated that they routinely evaluated delirium and 56% of them used confussion assessment method for ICU. The awareness of 2013 American College of Critical Care Medicine (ACCM) guideline for the management of pain, agitation, and delirium was only 38%. The results of this survey have indicated some areas to be improved, such as low incidence of written sedation protocols, frequent use of benzodiazepines, and delirium screening. A national guideline should be prepared taking pain, agitation, and delirium in focus.

Conditions

Critical Illness; Sedation

Keywords

critical care; sedation; practice; survey

Outcome Measures

Primary Outcomes (1)

• Practices and preferences of sedation

  Collection of answers to the survey

  3 months

Interventions

Survey OTHER

Submission of survey answers

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All intensive care physicians that are the member of Turkish Society of Intensive Care

You may qualify if:

• All physicians accepting to participate the survey

You may not qualify if:

• None

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University Cerrahpasa Medical School

Istanbul, 34098, Turkey (Türkiye)

Location

Related Publications (1)

• Urkmez S, Erdogan E, Utku T, Dikmen Y. Sedation Practices and Preferences of Turkish Intensive Care Physicians: A National Survey. Turk J Anaesthesiol Reanim. 2019 Jun;47(3):220-227. doi: 10.5152/TJAR.2019.49799. Epub 2019 Feb 24.

  PMID: 31183469 DERIVED

MeSH Terms

Conditions

Critical Illness

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• seval urkmez, MD

  IU, Cerrahpasa Medical School, Dept of Intensive Care

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 28, 2018
• First Posted: April 4, 2018
• Study Start: August 2, 2017
• Primary Completion: November 1, 2017
• Study Completion: November 1, 2017
• Last Updated: April 9, 2018

Record last verified: 2018-04

Locations

TU (1)