Iatrogenic withdrawal syndrome is an increasingly recognized issue among adult patients in the intensive care unit. The prolonged use of opioids and benzodiazepines during the intensive care unit stay and preexisting disorders associated with their use put patients at risk of developing iatrogenic withdrawal syndrome. Although research to date is scant regarding iatrogenic withdrawal syndrome in adult patients in the intensive care unit, it is important to recognize and adequately manage iatrogenic withdrawal syndrome in order to prevent possible negative outcomes during and after a patient’s intensive care unit stay. This article discusses in depth 8 studies of iatrogenic withdrawal syndrome among adult patients in the intensive care unit. It also addresses important aspects of opioid and benzodiazepine iatrogenic withdrawal syndrome, including prevalence, risk factors, and assessment and considers its prevention and management.
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Winter 2019
Symposium: Pain Management Challenges in Acute and Critically Ill Patients|
December 15 2019
Opioid and Benzodiazepine Iatrogenic Withdrawal Syndrome in Patients in the Intensive Care Unit
Carmen Mabel Arroyo-Novoa, PhD, RN;
Carmen Mabel Arroyo-Novoa, PhD, RN
Carmen Mabel Arroyo-Novoa is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067 ([email protected]). Milagros I. Figueroa-Ramos is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, San Juan, Puerto Rico. Kathleen A. Puntillo is Professor Emeritus, Physiological Nursing Department, University of California, San Francisco, School of Nursing, San Francisco, California.
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Milagros I. Figueroa-Ramos, PhD, RN;
Milagros I. Figueroa-Ramos, PhD, RN
Carmen Mabel Arroyo-Novoa is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067 ([email protected]). Milagros I. Figueroa-Ramos is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, San Juan, Puerto Rico. Kathleen A. Puntillo is Professor Emeritus, Physiological Nursing Department, University of California, San Francisco, School of Nursing, San Francisco, California.
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Kathleen A. Puntillo, PhD, RN
Kathleen A. Puntillo, PhD, RN
Carmen Mabel Arroyo-Novoa is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067 ([email protected]). Milagros I. Figueroa-Ramos is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, San Juan, Puerto Rico. Kathleen A. Puntillo is Professor Emeritus, Physiological Nursing Department, University of California, San Francisco, School of Nursing, San Francisco, California.
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AACN Adv Crit Care (2019) 30 (4): 353–364.
Citation
Carmen Mabel Arroyo-Novoa, Milagros I. Figueroa-Ramos, Kathleen A. Puntillo; Opioid and Benzodiazepine Iatrogenic Withdrawal Syndrome in Patients in the Intensive Care Unit. AACN Adv Crit Care 15 December 2019; 30 (4): 353–364. doi: https://doi.org/10.4037/aacnacc2019267
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