Crit Care Med February 2025 PMID 39982178

Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically Ill Adults Receiving Mechanical Ventilation (PROACTIVE): An Open-Label Randomized Controlled Trial.

James Downar, Julie Lapenskie, Salmaan Kanji, Irene Watpool, Jessica Haines, Uzma Saeed, Rebecca Porteous, Nadia Polskaia, Lisa Burry, Shuhira Himed, Koby Anderson, Alison Fox-Robichaud

Mentions

31
Peak: 11 in Feb 2025
across 2 sources since Jul 2020

Extended reach

161,689
potential audience

Total likes

121

Video views

2,390

Mentions per month

Jul 2020 – Oct 2025

Where it's discussed

  • X / Twitter29 posts
  • YouTube2 videos

AI synopsis

What people are saying

Several discussions include words of praise like 'Nice work' and expressions of anticipation for research shows, indicating that participants view the study as important and promising. The tone and choice of words suggest excitement about the potential for propranolol to decrease sedative use, and references to upcoming conferences and future trials highlight perceived significance and relevance of the research to clinical practice.

AgreementModerate agreement

Many posts express support or positive acknowledgment of the research, such as phrases like 'Nice work' and 'propranolol for the win,' indicating general agreement with the potential benefits highlighted in the publication.

InterestHigh interest

The discussions demonstrate high interest, with multiple posts sharing excitement for upcoming research presentations and findings, reflecting curiosity about the implications of the study.

EngagementHigh engagement

The social discussions show deep engagement, as posters reference specific trial outcomes, suggest clinical relevance, and highlight related ongoing research, signaling thoughtful consideration.

ImpactModerate impact

Participants perceive the publication as having moderate impact, pointing out potential shifts in clinical practice and the importance of the findings, though some posts remain optimistic rather than definitive.

Abstract in brief

  • The study tested whether propranolol, a nonselective beta-blocker, could reduce the amount of sedatives needed for critically ill patients on mechanical ventilation, especially during shortages caused by the COVID-19 pandemic.
  • Results showed that patients receiving propranolol experienced a greater reduction in sedative doses and more frequent target sedation levels, without increasing adverse events or affecting mortality.
  • Overall, propranolol proved to be an inexpensive option that helps lower sedative use in critically ill patients, potentially conserving sedative supplies during crises like the pandemic.

Top posts

Most liked on X and Bluesky
ケースケ@LessIsMoreICU
@lessismoreicu · X

高用量鎮静薬を要するレスピ患者で、プロプラノロール20~60mgの6時間毎の漸増投与は、鎮静薬必要性を低下させて目標鎮静を達成し、安価で、限られた鎮静薬の供給量を維持するのに役立つ可能性あり、というRCT。 有害事象のリスクは明らかな増加もなしと 今後の研究に期待 https://t.co/dAPl9061Cc

Feb 27, 2025 · 28 likes · 5 shares · 6,003 followers View post →
Gustavo Domeniconi
@gdomeni · X

Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/VVKbSfVKMY.

May 17, 2025 · 23 likes · 6 shares · 910 followers View post →
Kwadwo Kyeremanteng
@kwadwo777 · X

Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/u9birYmjVD Nice work @jamesdownar

Feb 22, 2025 · 4 likes · 2 shares · 17,888 followers View post →
Bryan Cotton
@bryanacotton1 · X

Oh, look…propranolol for the win. Again. In this small RCT, scheduled PO propranolol ⬇️ propofol and midazolam requirements/dosing & its use had more RASS at

Feb 22, 2025 · 4 likes · 5,039 followers View post →
Hopkins ICU Rehab
@icurehab · X

Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically Ill Adults Receiving Mechanical Ventilation (PROACTIVE): An Open-Label Randomized Controlled Trial https://t.co/pmKboQ5dud #icurehab #A2Fbundle

Jul 18, 2025 · 3 likes · 3 shares · 12,004 followers View post →
SCCM Clinical Pharmacy and Pharmacology Section
@SCCM_CPP · X

#CPPPLU Highlights

May 9, 2025 · 2 likes · 1 share · 3,428 followers View post →

All mentions

ISCCM
@isccmnational · X

Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically III Adults Receiving Mechanical Ventilation (PROACTIVE): An Open-Label Randomized Controlled Trial #isccm #esicm

Oct 17, 2025 · 2,609 followers View post →
ISCCM
@isccmnational · X

Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically III Adults Receiving Mechanical Ventilation (PROACTIVE): An Open-Label Randomized Controlled Trial #isccm #esicm #webinar

Oct 14, 2025 · 2,609 followers View post →
María Frade
@MariaFrade77 · X

RT @icurehab: Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically Ill Adults Receiving Mechanical Ventilation (PROAC…

Jul 21, 2025 · 3 shares · 210 followers View post →
ICUsteps
@ICUsteps · X

RT @icurehab: Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically Ill Adults Receiving Mechanical Ventilation (PROAC…

Jul 20, 2025 · 3 shares · 9,037 followers View post →
Dale Needham, MD, PhD
@DrDaleNeedham · X

RT @icurehab: Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically Ill Adults Receiving Mechanical Ventilation (PROAC…

Jul 18, 2025 · 3 shares · 11,586 followers View post →
Hopkins ICU Rehab
@icurehab · X

Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically Ill Adults Receiving Mechanical Ventilation (PROACTIVE): An Open-Label Randomized Controlled Trial https://t.co/pmKboQ5dud #icurehab #A2Fbundle

Jul 18, 2025 · 3 likes · 3 shares · 12,004 followers View post →
Dr.SGanta@PharmD
@SaiduluGanta · X

RT @gdomeni: Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/VVKbSfVKMY.

May 18, 2025 · 6 shares · 764 followers View post →
Jerónimo Xavier Cassanello
@xass76 · X

RT @gdomeni: Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/VVKbSfVKMY.

May 17, 2025 · 6 shares · 4,767 followers View post →
Neuro Criticos
@neurointensivos · X

RT @gdomeni: Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/VVKbSfVKMY.

May 17, 2025 · 6 shares · 2,815 followers View post →
rafael mello galliez
@RafaelGalliez · X

RT @gdomeni: Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/VVKbSfVKMY.

May 17, 2025 · 6 shares · 149 followers View post →
Gustavo Domeniconi
@gdomeni · X

Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/VVKbSfVKMY.

May 17, 2025 · 23 likes · 6 shares · 910 followers View post →
SCCM Clinical Pharmacy and Pharmacology Section
@SCCM_CPP · X

#CPPPLU Highlights

May 9, 2025 · 2 likes · 1 share · 3,428 followers View post →
北海道大学病院 救急科
@hokudai_qq · X

プロプラノール投与で、鎮静薬の減量が可能か? →明らかな有害事象の増加なしに、有意な鎮静薬の減量が可能であった。 (非盲検、3施設RCT、解析対象29人vs28人) 若年の方などで、鎮静に難渋する場合にはプロプラノールの投与を検討する価値はあるかもしれませんね。 https://t.co/CS6mq4mD5g

Apr 27, 2025 · 2 likes · 1,174 followers View post →
SCCM Clinical Pharmacy and Pharmacology Section
@SCCM_CPP · X

@SCCM @memorialhermann @NEJM @UMMC #SCCMJC #PharmICU Presenter 3: Angela Castro, PharmD PGY2 CC Resident @UCSDHealth Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically Ill Adults Receiving Mechanical Ventilation (PROACTIVE) @CritCareMed https://t.co/wFYGQAutGV

Mar 20, 2025 · 1 like · 3,428 followers View post →
SCCM Clinical Pharmacy and Pharmacology Section
@SCCM_CPP · X

@SCCM @memorialhermann @NEJM @UMMC #SCCMJC #PharmICU Presenter 3: Angela Castro, PharmD PGY2 CC Resident @UCSDHealth Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically Ill Adults Receiving Mechanical Ventilation (PROACTIVE) @CritCareMed https://t.co/wFYGQAtVRn

Mar 14, 2025 · 3,428 followers View post →
ゴルゴサッティーンゴ
@sattiy · X

RT @pinacol: 【RCT】高用量の鎮静薬を要する人工呼吸器を装着した麻痺のない患者へのプロプラノロールの経腸投与は、通常のケアのみと比較して、鎮静薬の投与量を減少させた。 #ペ読 https://t.co/bpR3Ec6Fke

Mar 9, 2025 · 1 share · 460 followers View post →
pinacol
@pinacol · X

【RCT】高用量の鎮静薬を要する人工呼吸器を装着した麻痺のない患者へのプロプラノロールの経腸投与は、通常のケアのみと比較して、鎮静薬の投与量を減少させた。 #ペ読 https://t.co/bpR3Ec6Fke

Mar 1, 2025 · 1 like · 1 share · 1,616 followers View post →
薄氷を履む
@_out_on_a_limb2 · X

RT @lessismoreicu: 高用量鎮静薬を要するレスピ患者で、プロプラノロール20~60mgの6時間毎の漸増投与は、鎮静薬必要性を低下させて目標鎮静を達成し、安価で、限られた鎮静薬の供給量を維持するのに役立つ可能性あり、というRCT。 有害事象のリスクは明らかな増加…

Feb 28, 2025 · 5 shares · 11 followers View post →
happy anesth
@kmyk08315265 · X

RT @lessismoreicu: 高用量鎮静薬を要するレスピ患者で、プロプラノロール20~60mgの6時間毎の漸増投与は、鎮静薬必要性を低下させて目標鎮静を達成し、安価で、限られた鎮静薬の供給量を維持するのに役立つ可能性あり、というRCT。 有害事象のリスクは明らかな増加…

Feb 28, 2025 · 5 shares · 543 followers View post →
ケースケ@LessIsMoreICU
@lessismoreicu · X

RT @lessismoreicu: 高用量鎮静薬を要するレスピ患者で、プロプラノロール20~60mgの6時間毎の漸増投与は、鎮静薬必要性を低下させて目標鎮静を達成し、安価で、限られた鎮静薬の供給量を維持するのに役立つ可能性あり、というRCT。 有害事象のリスクは明らかな増加…

Feb 27, 2025 · 5 shares · 6,003 followers View post →
どん兵衛
@qd_mm5 · X

RT @lessismoreicu: 高用量鎮静薬を要するレスピ患者で、プロプラノロール20~60mgの6時間毎の漸増投与は、鎮静薬必要性を低下させて目標鎮静を達成し、安価で、限られた鎮静薬の供給量を維持するのに役立つ可能性あり、というRCT。 有害事象のリスクは明らかな増加…

Feb 27, 2025 · 5 shares · 9 followers View post →
ケースケ@LessIsMoreICU
@lessismoreicu · X

高用量鎮静薬を要するレスピ患者で、プロプラノロール20~60mgの6時間毎の漸増投与は、鎮静薬必要性を低下させて目標鎮静を達成し、安価で、限られた鎮静薬の供給量を維持するのに役立つ可能性あり、というRCT。 有害事象のリスクは明らかな増加もなしと 今後の研究に期待 https://t.co/dAPl9061Cc

Feb 27, 2025 · 28 likes · 5 shares · 6,003 followers View post →
Solving Healthcare
@KwadCast · X

RT @kwadwo777: Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/u9birYmjVD Nice work…

Feb 22, 2025 · 2 shares · 6,679 followers View post →
Bryan Cotton
@bryanacotton1 · X

Oh, look…propranolol for the win. Again. In this small RCT, scheduled PO propranolol ⬇️ propofol and midazolam requirements/dosing & its use had more RASS at

Feb 22, 2025 · 4 likes · 5,039 followers View post →
James Downar
@jamesdownar · X

RT @kwadwo777: Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/u9birYmjVD Nice work…

Feb 22, 2025 · 2 shares · 2,262 followers View post →
Kwadwo Kyeremanteng
@kwadwo777 · X

Propranolol As an Anxiolytic to Reduce the Use of Sedatives ... : Critical Care Medicine https://t.co/u9birYmjVD Nice work @jamesdownar

Feb 22, 2025 · 4 likes · 2 shares · 17,888 followers View post →
Critical Care Medicine
@CritCareMed · X

Get a sneak peek at the critical care research you’ll find at #SCCM2025! Critical Care Medicine editors and SCCM Discovery leadership discuss a new clinical trial on aspirin treatment in patients with #sepsis and septic shock: https://t.co/BpkrehqPtB #SCCM #CritCareMed @SCCM https://t.co/ZuaopLGXeM

Feb 20, 2025 · 53,152 followers View post →
CureHuntr
@CureHuntr · X

#clinicaltrial Propranolol as an Anxiolytic to Reduce the Use of Sedatives From Critically-ill Adults Receiving Mechanical Ventilation https://t.co/zocxnE8le4

Jul 11, 2020 · 234 followers View post →
TrialBulletin
@TrialBulletin · X

Propranolol as an Anxiolytic to Reduce the Use of Sedatives From Critically-ill Adults Receiving Mechanical Ventilation: Status: Not yet recruiting, Condition Summary: Mechanical Ventilation; Sedation; Critical Illness; COVID https://t.co/IkZFDDS9WV

Jul 11, 2020 · 331 followers View post →