ABCDEF bundle
Assess for pain, analgesics so that they can engage,
Autonomy is key sedation's not a cure,
Alternate on and off intermittent is the key,
All together makes everything easier you’ll see.
Begin with SAT put a hold on sedation,
Before SBT to see if they are capable of breathing.
Back to the start for another day if their failing,
But a good start to think about extubation.
Choose carefully and aim for reduced agitation, not heavy sedation,
Choice of sedatives is very important Benzo’s should be avoided,
Could we use propofol in your thoughts in planning,
Can we use dexmedetomidine sure but only short term.
Delirium now that’s my enemy incarnate,
Do an assessment CAM-ICU the preference,
Different types, hyper or hypo active as well as mixed,
Dysfunction of the brain can affect behaviour.
Early movement prevention is better than cure,
Exercise protects the lungs and against weakness,
Every step taken helps to stay ahead of their illness,
Early is best when in the ICU as you can save before it's lost.
Family is so very important and helps to reorientate,
Fun how communicating effectively can leave an impression,
Feed them with confidence that they can help you,
Find ways to help them help your patient.
Get these points straight into your head,
Great to learn about what you should do,
Guidelines are important they support practice with facts,
Gathering understanding it’s a guidebook to success.
Hopefully, this helps you get to grips with the bundle,
How it works and why you use it,
Happy to help you with the words I am choosing,
Horrors lie ahead for patients whose care team don’t use it.
