ICU sedation, delirium & recovery

Target controlled infusion in the intensive care unit: a scoping review

J Clin Monit ComputPublished Scoping review

Authors' conclusion

while current findings are promising, the evidence base supporting TCI-especially in the context of newer, generalized pharmacokinetic models and antibiotics-remains insufficient

Study context

Population
Adult intensive care unit (ICU) patients receiving target-controlled infusion (TCI) for any drug281 studies identified
Outcome
Use of TCI in the ICU (sedation, analgesia, antibiotics)
Methodological detailssystematic literature search (Medline, Cochrane Library, to August 2024)
  • Systematic literature search (Medline, Cochrane Library, to August 2024)

Main finding

As reported in the abstract

Studies focused on sedatives, particularly propofol and remifentanil (Marsh and Minto models)

14

Studies of antibiotic TCI (mainly vancomycin, cefepime): potential but lacking robust clinical validation

3

Original publication

Target controlled infusion in the intensive care unit: a scoping review. J Clin Monit Comput. Published 9 September 2025. doi:10.1007/s10877-025-01356-1

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