Delirium Clinical Trial
Official title:
Nicotine Replacement Therapy in the Intensive Care Unit: a Randomized, Controlled Pilot Study
The purpose of this study is to determine whether transdermal nicotine replacement therapy is safe and effective for treating nicotine withdrawal symptoms in the critically ill smoking patient.
Cigarette smoking remains the leading cause of preventable disease and premature death
worldwide. There are about 1.2 billion smokers in the world, half of whom will die from
diseases caused by smoking. Smoking causes 5 million deaths per year, and if present trends
continue, 10 million smokers per year are projected to die by 2025.
Furthermore, abstinence from the highly addictive tobacco products can lead to withdrawal
symptoms. Although these symptoms are non-life threatening in healthy and hospitalized adults
they are not well described in the mechanically ventilated active smoking patient.
Retrospective studies found a higher, lower or equal mortality in critically ill patients
receiving nicotine replacement therapy compared to patients receiving no nicotine
replacement.
Because of these conflicting results and the absence of a randomized controlled trial
studying the efficacy and safety of transdermal nicotine replacement therapy in the
critically ill smoking patient a clinical study will be conducted.
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