ICU sedation, delirium & recovery

Target-controlled infusion for analgesia and sedation in the intensive care unit: a scoping review

Ann Intensive CarePublished Scoping review

Authors' conclusion

Available data suggest that TCI-based analgosedation in the ICU is feasible and safe in the short term. Most available data are descriptive or exploratory and robust comparative clinical benefit has not yet been demonstrated.

Study context

Population
Critically ill adults receiving analgesia and sedation in the intensive care unit (ICU)33 articles
Participants
1,273 adults
Comparison
Target-controlled infusion (TCI)-based vs conventional analgosedation
  • TCIn = 1,142 1
  • Conventionaln = 106reference
Outcome
Applications of TCI in the ICU
Methodological detailsregistered protocol (Open Science Framework), randomised and non-randomised studies, Systematic search of major databases; 8 independent reviewers for screening, data extraction and risk of bias assessment
  • Registered protocol (Open Science Framework)
  • Randomised and non-randomised studies
  • Systematic search of major databases; 8 independent reviewers for screening, data extraction and risk of bias assessment

Main finding

As reported in the abstract

Studies directly comparing TCI-based with conventional analgosedation
4

Original publication

Target-controlled infusion for analgesia and sedation in the intensive care unit: a scoping review. Ann Intensive Care. Published 13 February 2026. doi:10.1016/j.aicoj.2026.100035

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