Impacts of Sedation Titration Using pEEG Monitors on Delirium Rates and Mechanical Ventilation

Activity Summary

ICU-acquired delirium is common and is an independent risk factor for patient mortality. Many factors increase a patient's risk for delirium, including exposure to sedative medications. In deeply sedated patients, titration of sedation medications by utilizing observational scales alone can be inexact, and lead to oversedation. Discussion of this quality improvement project covers utilizing processed EEG monitors (pEEG) for RNs to guide the titration of IV sedation and analgesic in ventilated patients, which is subsequently shown to reduce the occurrence of delirium by 64% and decrease days spent on a ventilator by 36%.

Objectives

Describe the impact of sedation in the ICU and long-term outcomes of sedation for patients.
Explain how frontline RNs can drive system change to improve patient outcomes.
Identify how pEEG monitoring can supplement RASS monitoring to improve patient outcomes.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.