Anxiety and agitation in mechanically ventilated patients
Open accessAbstract
During an ethnography conducted in an intensive care unit (ICU), we found that anxiety and agitation occurred frequently and were important considerations in the care of 30 patients weaning from prolonged mechanical ventilation. We conducted a secondary analysis to (a) describe characteristics of anxiety and agitation experienced by mechanically ventilated patients, (b) explore how clinicians recognized and interpreted anxiety and agitation, and (c) describe strategies and interventions used to manage anxiety and agitation with mechanically ventilated patients. We constructed the Anxiety/Agitation in Mechanical Ventilation Model to illustrate the multidimensional features of symptom recognition and management. Patients’ ability to interact with the environment served as a basis for identification and management of anxiety or agitation. Clinicians’ attributions about anxiety or agitation, and “knowing the patient,” contributed to their assessment of patient responses. Clinicians chose strategies to overcome either the stimulus or the patient’s appraisal of risk of the stimulus. This article contributes to the body of knowledge about symptom recognition and management in the ICU by providing a comprehensive model to guide future research and practice.
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Critically ill patients often receive analgesics and sedatives for pain and anxiety, and these drugs are linked to a higher risk of delirium.
“Critically ill patients commonly receive analgesics and sedatives for management of pain and anxiety,5,6 and these medicines themselves are associated with an increased risk of delirium.”
From Feasibility of a virtual reality intervention in the intensive care unit (2021) · cites this paper as [5]
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References 64 · Cited by 136
Research works printed but not linked: 1
- Tate J Happ M Sereika S Swigart V Arnold R Hoffman L Coyne B Exploring the relationship between anxiety and weaning from long-term mechanical ventilation (LTMV) treatment 2005 A793 Proceedings of the American Thoracic Society 2005 International Conference San Diego, CA May 20-25
- Authors
- Tate, J. A., Devito Dabbs, A., Hoffman, L. A., Milbrandt, E., & Happ, M. B.
- Affiliations
- University of Pittsburgh (US)
- University of Pittsburgh, Pittsburgh, Pennsylvania, USA
- Venue
- Qualitative Health Research
- Publisher
- SAGE Publications
- Published
- 2011-09-09
- Volume
- 22
- Issue
- 2
- Pages
- 157-173
- ISSN
- 1049-7323 (ISSN-L)
- 1552-7557
- PMC
- PMC3598123
- OpenAlex
- W2133442288
- Cited by
- 136
- References
- 64
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 12 · 2023: 15 · 2022: 13 · 2021: 21 · 2020: 8 · 2019: 3 · 2018: 11 · 2017: 7 · 2016: 10 · 2015: 7 · 2014: 5 · 2013: 3 · 2012: 1
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Qualitative Health Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000005)
- National Institute on Aging (R03AG063276)
- National Institute of Mental Health (T32MH019986)
- National Institute of Nursing Research (K24NR010244, R01NR007973, T32NR008857)
- National Center for Research Resources (UL1RR024153)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
- Keywords
- anxiety, agitation, mechanical ventilation, intensive care unit, weaning from mechanical ventilation, symptom recognition, symptom management, patient-clinician interaction
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anthropology, Cultural, Anxiety, Behavior, Communication, Fear, Female, Humans, Hypnotics and Sedatives, Intensive Care Units, Male, Middle Aged, Monitoring, Physiologic, Professional-Patient Relations, Anti-Anxiety Agents, Ventilator Weaning, Prevalence
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