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Indications for the use of neuromuscular blocking agents in the ICU

Indications for the use of neuromuscular blocking agents in the ICU
To facilitate mechanical ventilation in patients with severe hypoxemia (increase chest wall compliance, prevent poorly coordinated respiratory movements, reduce peak airway pressures, and facilitate permissive hypercapnia)
Shivering due to therapeutic hypothermia following cardiac arrest
Emergent intubation
To facilitate treatment of medical conditions associated with increased muscle activity, including tetanus, neuroleptic malignant syndrome, or status asthmaticus
To facilitate short procedures under general anesthesia (endotracheal intubation, bronchoscopy, gastrointestinal endoscopy, specialized radiologic procedures)
To prevent unwanted motor movement such as respiratory distress, and coughing on tracheal suction in patients with increased intracranial pressure or massive hemoptysis
These indications are predicated on conventional strategies of sedation and analgesia that have failed.
Graphic 75880 Version 4.0