Benzodiazepines is a commonly uesd sedative medication,there are many reports that Benzodiazepines is associated with delirium ,but using of analgesia reduces benzodiazepines requirements .The purpose of this study is to determine whether analgesia based sedation protocol reduces the incident of delirium.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
100
The incidence and duration of delirium in patients with different regimens
Time frame: 1 day
Mortality
Time frame: 28 days
Ventilator-free days
Time frame: an expected average of 7 days
Mean days of mechanical ventilation
Time frame: an expected average of 7 days
Length of ICU stay
Time frame: an expected average of 7 days
Index of anesthesia depth monitoring
Analgesic level、sedation level、brain function、 blood perfusion for peripheral and brain circulation、sleep stages and variation of blood volume
Time frame: From admission to ICU to weaning,about 7 days
Infusion velocity and total dose of sedative drugs in different groups
Time frame: From admission to ICU to extubation or drug withdrawal,about 7 days
Plasma melatonin level
Time frame: Every 6 hours during the next ICU day
Total rescue dose of midazolam
Time frame: Seven days after giving midazolam to patient
Variations of HR、RR、BP、SpO2
Time frame: an expected average of 7 days
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