Open AccessAwareness With Paralysis in Mechanically Ventilated Patients in the Emergency Department and ICU: A Systematic Review and Meta-Analysis*
Author(s) -
Ryan D Pappal,
Brian W. Roberts,
Winston Winkler,
Lauren H Yaegar,
Robert J. Stephens,
Brian M. Fuller
Publication year - 2021
Publication title -
critical care medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.002
H-Index - 271
eISSN - 1530-0293
pISSN - 0090-3493
DOI - 10.1097/ccm.0000000000004824
Subject(s) - medicine , emergency department , meta analysis , emergency medicine , incidence (geometry) , subgroup analysis , randomized controlled trial , data extraction , mechanical ventilation , paralysis , systematic review , medline , pediatrics , intensive care medicine , surgery , psychiatry , physics , political science , law , optics
Awareness with paralysis is a devastating complication for mechanically ventilated patients and can carry long-term psychologic sequelae. Hundreds of thousands of patients require mechanical ventilation in the emergency department and ICU annually, yet awareness has only been rigorously examined in the operating room (incidence ~0.1%). This report collates the global literature regarding the incidence of awareness with paralysis outside of the operating room.