We have Tyler Christifulli from FOAMfrat back on to discuss two acronyms (we each developed one) for post-intubation agitation and sedation. We also talk about the utility of acronyms in general. As a fair warning, there is some explicit language in the podcast itself. However, this is not only a great post but is entertaining and sure to help you better understand the topic.
COMFORT is listed above in the image that Tyler made for his post.
When a patient is intubated and agitated, "STOP" and think:
STOP Sedation/Suction - Analgesics first along with sedatives; suction especially if heavy secretions Tube - Proper placement, cuff pressure (20-30 cm/H2O), gastric tube Oxygenation/Ventilation - Sufficient oxygenation, ventilator settings (reduce I Time and make easier to trigger breaths), humidified air Pain/Paralytics - Check on painful stimuli such as the ETT and Foley; Paralytics are last resort and should only be a temporary measure Let us know what you think by giving us feedback here in the comments section or contacting us on Twitter or Facebook. Remember to look us up on Libsyn and on iTunes. If you have any questions you can also comment below, email at thetotalem@gmail.com, or send a message from the page. We hope to talk to everyone again soon. Until then, continue to provide total care everywhere. 
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