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:
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
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