Lightning rounds 44: Post-intubation sedation roundup

In this episode of Critical Care Scenarios, Brandon Odo and Brian Bowling present a "lightning rounds" episode focusing on post-intubation sedation and analgesia practices. They gathered insights from various experts—including physicians, nurse practitioners, and paramedics—across different clinical settings such as neurocritical care, general ICUs, and transport environments. The experts share their approaches to immediate post-intubation patient care, covering aspects like medication choices (propofol, fentanyl, ketamine), the importance of minimizing post-intubation awareness of paralysis, and strategies for promoting early patient mobilization and communication. The discussion highlights the variability in practices and underscores the need for tailored approaches that align with specific patient populations and desired outcomes, such as minimizing sedation and promoting ICU liberation.