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The study is a prospective interventional study with three main aims:
Patients < 18 years of age treated in an intensive care unit for 5 days or more with infusion of opioids and/or benzodiazepines, are eligible for inclusion. Patients are included at the time tapering of these drugs is initiated. Part one of the study is observational. Drugs administered, complications, Comfort score and WAT-1 (Withdrawal Assessment Tool-1) score is recorded. Before part two of the study, an algorithm for tapering of analgosedation is implemented, and the data set is obtained as in part one.
For part three of the study, focus group interviews will be used.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Before algorithm | No Intervention | Observational | |
| After algorithm | Experimental | Algorithm for tapering of analgosedation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Algorithm for tapering og analgosedation | Other | Algorithm for tapering og analgosedation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in mean peak WAT-1 score | Through study completion, up to 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Time used tapering analgosedation | Through study completion, up to 21 days | |
| Ventilator days | Through study completion, up to 21 days | |
| ICU days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gunnar bentsen, MD PhD | Oslo University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oslo University Hospital, Rikshospitalet | Oslo | 0871 | Norway |
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| ID | Term |
|---|---|
| D013375 | Substance Withdrawal Syndrome |
| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000465 | Algorithms |
| ID | Term |
|---|---|
| D055641 | Mathematical Concepts |
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| Through study completion, up to 21 days |
| Drug doses used | Through study completion, up to 21 days |
| Adverse events | Through study completion, up to 21 days |
| Comfort score | Through study completion, up to 21 days |