Page last updated: 2024-10-30

lorazepam and Blood Poisoning

lorazepam has been researched along with Blood Poisoning in 3 studies

Lorazepam: A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent.

Research Excerpts

ExcerptRelevanceReference
"Of the 103 patients randomized, 63 (31 dexmedetomidine; 32 lorazepam) were admitted with sepsis and 40 (21 dexmedetomidine; 19 lorazepam) without sepsis."9.14Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial. ( Ely, EW; Girard, TD; Herr, DL; Maze, M; McGrane, S; Pandharipande, PP; Sanders, RD; Shintani, AK; Thompson, JL, 2010)
"Of the 103 patients randomized, 63 (31 dexmedetomidine; 32 lorazepam) were admitted with sepsis and 40 (21 dexmedetomidine; 19 lorazepam) without sepsis."5.14Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial. ( Ely, EW; Girard, TD; Herr, DL; Maze, M; McGrane, S; Pandharipande, PP; Sanders, RD; Shintani, AK; Thompson, JL, 2010)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's3 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
OʼRear, JM1
Prahlow, JA1
Pandharipande, PP1
Sanders, RD1
Girard, TD1
McGrane, S1
Thompson, JL1
Shintani, AK1
Herr, DL1
Maze, M1
Ely, EW1
Kress, JP1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized, Double-blind Trial in Ventilated ICU Patients Comparing Treatment With an Alpha2 Agonist Versus a Gamma Aminobutyric Acid (GABA)-Agonist to Determine Delirium Rates, Efficacy of Sedation, Analgesia and Discharge Cognitive Status[NCT00095251]Phase 2100 participants (Anticipated)Interventional2004-08-31Completed
PRO-DEFENSE: Propofol Versus Dexmedetomidine for Sedation in Mechanically Ventilated Patients With Sepsis[NCT02203019]Phase 436 participants (Actual)Interventional2014-08-31Completed
Multicentric, Single Blind, Randomized Controlled Trial on Enteral Sedation Versus Intravenous Sedation in Critically Ill High-risk ICU Patients[NCT01360346]Phase 3300 participants (Anticipated)Interventional2012-01-31Recruiting
Pain, Agitation and Delirium Protocol in Ventilated Patients in the Duke CICU[NCT02903407]Phase 47 participants (Actual)Interventional2017-09-01Terminated (stopped due to All enrolled participants completed the study protocol but the study was terminated prior to the goal number of participants due to low recruitment)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Duration of Mechanical Ventilation

Number of days patient requires mechanical ventilation (NCT02203019)
Timeframe: Up to 28 days

Interventiondays (Median)
Propofol5
Dexmedetomidine3

Duration of MICU Stay

Number of days patient stays in the MICU (NCT02203019)
Timeframe: Up to 28 Days

Interventiondays (Median)
Propofol6
Dexmedetomidine5

Duration of Vasopressor Support

Number of days the patient requires intravenous vasopressors (NCT02203019)
Timeframe: Up to 28 Days

Interventiondays (Median)
Propofol0
Dexmedetomidine2

Mortality

Number of patients who die within 28 days after randomization (NCT02203019)
Timeframe: Up to 28 Days

InterventionParticipants (Count of Participants)
Propofol8
Dexmedetomidine9

Hospital Length of Stay

Index hospitalization length of stay in days (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionDays (Median)
Midazolam19.5
Propofol or Dexmedetomidine30.0

In Hospital Mortality

All-cause mortality during the hospitalization (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

Interventionparticipants (Number)
Midazolam1
Propofol or Dexmedetomidine1

Intensive Care Unit Length of Stay

Number of days of admission to the CICU during the index hospitalization (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionDays (Median)
Midazolam4.1
Propofol or Dexmedetomidine10.0

Number of Days Alive During Admission and Free From Delirium or Coma

The number of days alive and free from delirium or coma during admission will be evaluated among patients with CAM-ICU documented (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionDays (Median)
Midazolam14.0

Number of Days From Decision to Extubate to True Extubation

The time (in days) from when the clinical care team documents a decision to pursue extubation until the time the patient was extubated (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionDays (Median)
Midazolam0
Propofol or Dexmedetomidine0

Number of Participants Requiring Reintubation

Following ICU discharge, patient charts will be reviewed to evaluate whether they required reintubation. If so, will determine whether necessity of reintubation was related to delirium. (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionParticipants (Count of Participants)
Midazolam0
Propofol or Dexmedetomidine1

Number of Participants With Bradycardia

Patients will be monitored for bradycardia which may be associated with sedation drug. Average heart rate before, during and after use of drug will be recorded for each patient. (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionParticipants (Count of Participants)
Midazolam0
Propofol or Dexmedetomidine0

Number of Participants With Delirium

Will use the Confusion Assessment Method for the ICU (CAM-ICU) to assess presence of delirium as per standard of care by nurses in the CICU. Patients with CAM-ICU data recorded will be included. (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionParticipants (Count of Participants)
Midazolam1

Number of Participants With Increased Vasopressor Requirement

Patients will be monitored for increased pressor requirement during the CICU stay (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionParticipants (Count of Participants)
Midazolam2
Propofol or Dexmedetomidine2

Number of Ventilator Days

Days requiring mechanical ventilation during the initial episode of intubation during the hospitalization (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionDays (Median)
Midazolam2.5
Propofol or Dexmedetomidine6.8

Pain Management

Will use the CPOT (Critical-Care Pain Observation Tool) score to assess pain level as per standard of care by nurses in the CICU. The CPOT has a range of 0 to 8. A CPOT score of ≤ 2 = minimal to no pain present and >2 = unacceptable level of pain. Data that is recorded will be evaluated following discharge. (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

Interventionscore on a scale (Median)
Midazolam0.0
Propofol or Dexmedetomidine0.0

Percentage of Time at Goal Sedation

Will use RASS (Richmond Agitation and Sedation Scale) to assess level of sedation as per standard of care by nurses in the CICU. Data that is recorded will be evaluated following discharge. The RASS ranges from -5 (unrousable) to +4 (combative) and 0 (zero) = alert and calm and goal sedation is considered a RASS level of 0 to -2. (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

Interventionpercentage of time (Median)
Midazolam63.3
Propofol or Dexmedetomidine63.2

Time From Withdrawal of Sedation to ICU Discharge

The duration, in days, from withdrawal of sedation for mechanical ventilation until the time of discharge from the ICU (NCT02903407)
Timeframe: One month or hospital discharge, whichever time point comes first

InterventionDays (Median)
Midazolam1.6
Propofol or Dexmedetomidine5.6

Trials

1 trial available for lorazepam and Blood Poisoning

ArticleYear
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trial.
    Critical care (London, England), 2010, Volume: 14, Issue:2

    Topics: Adult; Aged; Coma; Delirium; Dexmedetomidine; Double-Blind Method; Female; Humans; Hypnotics and Sed

2010

Other Studies

2 other studies available for lorazepam and Blood Poisoning

ArticleYear
Early percutaneous endoscopic gastrostomy tube dislodgment.
    The American journal of nursing, 2015, Volume: 115, Issue:6

    Topics: Accidents, Traffic; Anti-Anxiety Agents; Craniotomy; Enteral Nutrition; Equipment Failure Analysis;

2015
The complex interplay between delirium, sepsis and sedation.
    Critical care (London, England), 2010, Volume: 14, Issue:3

    Topics: Brain; Critical Illness; Delirium; Dexmedetomidine; Humans; Hypnotics and Sedatives; Intensive Care

2010