Weaning From Exogenous Sedation in the Era of COVID-19 Infection: Recommendations for Sedation and Its Discontinuation

Prim Care Companion CNS Disord. 2020 Jul 16;22(4):20f02686. doi: 10.4088/PCC.20f02686.

Abstract

The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Analgesics, Opioid / therapeutic use
  • Benzodiazepines / therapeutic use
  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / therapy*
  • Deprescriptions*
  • Dexmedetomidine / therapeutic use*
  • Emergence Delirium / diagnosis*
  • Emergence Delirium / therapy
  • Humans
  • Hypnotics and Sedatives / therapeutic use*
  • Male
  • Neurologic Examination
  • Pandemics
  • Pneumonia, Viral / therapy*
  • Practice Guidelines as Topic
  • Propofol / therapeutic use
  • Respiration, Artificial / methods*
  • SARS-CoV-2
  • Substance Withdrawal Syndrome / diagnosis*
  • Substance Withdrawal Syndrome / therapy

Substances

  • Analgesics, Opioid
  • Hypnotics and Sedatives
  • Benzodiazepines
  • Dexmedetomidine
  • Propofol