Intravenous Lormetazepam during Sedation Weaning in a 26-Year-Old Critically Ill Woman

Author:

Luetz Alawi1ORCID,Weiss Bjoern1,Spies Claudia D.1

Affiliation:

1. Department of Anesthesiology and Intensive Care Medicine, Charité-Universitätsmedizin Berlin, Campus Charité Mitte and Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany

Abstract

Recent evidence revealed that sedation is related to adverse outcomes including a higher mortality. Despite this fact, patients sometimes require deep sedation for a limited period of time to control, for example, intracranial hypertension. In particular in these cases, weaning from sedation is often challenging due to emerging agitation, stress, and delirium. The submitted research letter reports a rare case of severe and persisting agitation that was unresponsive to all available treatments. Ultimately, lormetazepam which has recently become available for intravenous use in Germany resolved the problem by stress-reduction and anxiolysis without leading to measurable sedation.

Funder

Charité-Universitätsmedizin Berlin

Publisher

Hindawi Limited

Subject

Critical Care and Intensive Care Medicine

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