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Postoperative Delirium: The Importance of Pain and Pain Management
Fattori Stressanti & Open ICU
The Use of the Behavioral Pain Scale to Assess Pain in Conscious Sedated Patients
Sedation and Analgesia in the Intensive Care Unit
Use of Remifentanil as a Sedative Agent in Critically Ill Adult Patients: a Meta-Analysis
Decreased duration of mechanical ventilation when comparing analgesia-based sedation using remifentanil with standard hypnotic-based sedation for up to 10 days in intensive care unit patients: a randomised trial [ISRCTN47583497]
Analgesia and Sedation in the Intensive Care Unit: an Overview of the Issues
Assessing Pain in Critically Ill Sedated Patients by Using a Behavioral Pain Scale
Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult
Evidence and Consensus-Based German Guidelines for the Management of Analgesia, Sedation and Delirium in Intensive Care – Short Version
A Prospective, Randomized, Double-Blind, Multicenter Study Comparing Remifentanil with Fentanyl in Mechanically Ventilated Patients
A Protocol of No Sedation for Critically Ill Patients Receiving Mechanical Ventilation: a Randomised Trial
Adverse Events Associated with Sedatives, Analgesics, and Other Drugs That Provide Patient Comfort in the Intensive Care Unit
Sedation or Analgo-sedation in the ICU:A Multimodality Approach
Abolished Circadian Rhythm of Melatonin Secretion in Sedated and Artificially Ventilated Intensive Care Patients
Melatonin Improves Sleep in Asthma A Randomized, Double-blind, Placebo-controlled Study
Postoperative Delirium and Melatonin Levels in Elderly Patients
Impaired Circadian Rhythm of Melatonin Secretion in Sedated Critically Ill Patients with Severe Sepsis
Melatonin as Pharmacologic Support in Burn Patients: A Proposed Solution to Thermal Injury–Related Lymphocytopenia and Oxidative Damage
Melatonin Therapy to Improve Nocturnal Sleep in Critically Ill Patients:Encouraging Results from a Small Randomised Controlled Trial
Melatonin: Possible Implications for the Postoperative and Critically Ill Patient
Melatonin Reduces Oxidative Stress in Surgical Neonates.
Pharmacokinetics of Orally Administered Melatonin in Critically Ill Patients
Melatonin in Humans
Auditory Event-Related Potentials, Bispectral Index, and Entropy for the Discrimination of Different Levels of Sedation in Intensive Care Unit Patients
Current Practices in Sedation and Analgesia for Mechanically Ventilated Critically Ill Patients.A Prospective Multicenter Patient-based Study
A Systematic Review of the Impact of Sedation Practice in the ICU on Resource Use, Costs and Patient Safety
Pushing the Envelope to Reduce Sedation in Critically Ill Patients
Sedation in the Critically Ill Ventilated Patient: Possible Role of Enteral Drugs
Long-term Sedation in Intensive Care Unit:a Randomized Comparison between Inhaled Sevoflurane and Intravenous Propofol or Midazolam
Effect of Sedation With Dexmedetomidine vs Lorazepam on Acute Brain Dysfunction in Mechanically Ventilated Patient The MENDS Randomized Controlled Trial
Dexmedetomidine vs Midazolam for Sedation of Critically Ill Patients: A Randomized Trial
Conscious Sedation in the Critically Ill Ventilated Patient
Actigraphic Monitoring in Critically Ill Patients: Preliminary Results toward an “Observation-Guided Sedation”
Efficacy and Safety of a Paired Sedation and Ventilator Weaning Protocol for Mechanically Ventilated Patients in Intensive Care (Awakening and Breathing Controlled trial): a Randomised Controlled Trial
Clinical Review: Agitation and Delirium in the Critically Ill – Significance and Management
Which Medications to Avoid in People at Risk of Delirium: a Systematic Review
Delirium in Mechanically Ventilated Patients: Validity and Reliability of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)
Self-Reported Symptom Experience of Critically Ill Cancer Patients Receiving Intensive Care
Patients’ Recollections of Stressful Experiences while Receiving Prolonged Mechanical Ventilation in an Intensive Care Unit
Stressors in ICU - Patients Evaluation
Pharmacological Actions of Melatonin in Oxygen Radical Pathophysiology
Time to Wake Up the Patients in the ICU: a Crazy Idea or Common Sense?
Early Enteral Nutrition in Acutely Ill Patients: A Systematic Review
Long-Term Complications of Critical Care
A Screening, Prevention, and Restoration Model for Saving the Injured Brain in Intensive Care Unit Survivors
Severe Agitation among Ventilated Medical Intensive Care Unit Patients: Frequency, Characteristics and Outcomes
Early Physical and Occupational Therapy in Mechanically Ventilated, Critically Ill Patients: a Randomised Controlled Trial
Stressors in ICU: Perception of the Patient, Relatives and Health Care Team
Open Intensive Care Units: the Case in Favour
Visiting Policies in Italian Intensive Care Units: a Nationwide Survey
The “Open” ICU: not Just a Question of Time
Scales for Evaluating Self-Perceived Anxiety Levels in Patients Admitted to Intensive Care Units: A Review
Clinical Practice Guidelines for the Maintenance of Patient Physical Safety in the Intensive Care Unit: Use of Restraining Therapies - American College of Critical Care Medicine Task Force 2001 - 2002
Scoring System for the Selection of High-risk Patients in the Intensive Care Unit
Reducing Iatrogenic Risks : ICU-Acquired Delirium and Weakness – Crossing the Quality Chasm
Cognitive Improvement During Continuous Sedation in Critically Ill, Awake and Responsive Patients: the Acute Neurological ICU Sedation Trial (ANIST)
Early Nutrition Support in Critical Care: a European Perspective
Understanding International Differences in Terminology for Delirium and Other Types of Acute Brain Dysfunction in Critically Ill Patients
Incidence, Risk Factors and Consequences of ICU Delirium
Prevalence and Risk Factors for Development of Delirium in Surgical and Trauma Intensive Care Unit Patients
Days of Delirium Are Associated with 1-Year Mortality in an Older Intensive Care Unit Population
Benzodiazepine and Opioid Use and the Duration of Intensive Care Unit Delirium in an Older Population
Delirium Epidemiology in Critical Care (DECCA): an International Study
Occurrence of Delirium is Severely Underestimated in the ICU during Daily Care
Implementation of a Delirium Assessment Tool in the ICU Can Influence Haloperidol Use
Use of a Validated Delirium Assessment Tool Improves theAbility of Physicians to Identify Delirium in Medical Intensive Care Unit Patients
Different Assessment Tools for Intensive Care Unit Delirium: Which Score to Use?
The Importance of Diagnosing and Managing ICU Delirium
The Impact of Delirium on Clinical Outcomes in MechanicallyVentilated Surgical and Trauma Patients
Delirium Assessment in the Critically Ill
Delirium in Mechanically Ventilated Patients: Validity and Reliability of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)
Sleep Disruption in Critically Ill Patients –Pharmacological Considerations
Sleep Measurement in Critical Care Patients: Research and Clinical Implications
General Anesthesia, Sleep, and Coma
Patient Perception of Sleep Quality and Etiology of Sleep Disruption in the Intensive Care Unit
Sleep and Recovery from Critical Illness and Injury: A Review of Theory, Current Practice, and Future Directions
Effects of Earplugs and Eye Masks on Nocturnal Sleep,Melatonin and Cortisol in a Simulated Intensive Care Unit Environment
Sleep and Delirium in the Intensive Care Unit
Sleep and Delirium in ICU Patients: a Review of Mechanisms and Manifestations
Sleep in the Critically Ill Patient
The Prevalence of Post Traumatic Stress Disorder in Survivors of ICU Treatment: a Systematic Review
Memory, Delusions, and the Development of Acute Post Traumatic Stress Disorder-Related Symptoms after Intensive Care
Intensive Care Diaries Reduce New Onset Post Traumatic Stress Disorder Following Critical Illness: a Randomised, Controlled Trial
Post-Traumatic Stress Disorder after Weaning from Prolonged Mechanical Ventilation
The Long-Term Psychological Effects of Daily Sedative Interruption on Critically Ill Patients
Depression and PTSD among Family Members of ICU Care Associated with Symptoms of those who Die in the ICU
Early Intra-Intensive Care Unit Psychological Intervention Promotes Recovery from Post Traumatic Stress Disorders, Anxiety and Depression Symptoms in Critically Ill Patients
A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU
DELIRIUM: diagnosis, prevention and management - Clinical Guideline 103
Sedation and Analgesia in German Intensive Care Units: How is it Done in Reality? Results of a Patient-Based Survey of Analgesia and Sedation
The Richmond Agitation–Sedation Scale Validity and Reliability in Adult Intensive Care Unit Patients
Monitoring Sedation Status Over Time in ICU Patients Reliability and Validity of the Richmond Agitation Sedation Scale (RASS)
Patient-Focused Sedation and Analgesia in the ICU
Epidemiology of Sedation and Sedation Adequacy for Mechanically Ventilated Patients in a Medical and Surgical Intensive Care Unit
Epidemiology of Sedation and Sedation Adequacy for Mechanically Ventilated Patients in a Medical and Surgical Intensive Care Unit
Assessing Pain in Non-Intubated Critically Ill Patients Unable to Self Report: an Adaptation of the Behavioral Pain Scale
Sedation and Analgesia in the Critically Ill Adult

Stiamo assistendo in Terapia Intensiva ad una profonda sfida culturale: pazienti svegli, parenti presenti, staff consapevole dei limiti e delle possibilità. Non è facile "cambiare testa", ma è il primo passo per stare meglio. Tutti.

Link veloci

Gestire il dolore

ico-flowchartdoloreFlowchart dolore
ico-vnrVNR
ico-bpsBPS

Gestire la sedazione

ico-flowchart-sedaz-agitFlowchart sedaz/agitaz
ico-rassRASS

Gestire il delirium

ico-flowchart-deliriumFlowchart Delirium
ico-manuale-cam-icuManuale CAM-ICU
ico-schedalavoro-cam-icuScheda di lavoro CAM-ICU
ico-icdscICDSC

 

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