Sedation and Analgesia in the Intensive Care Unit
John P. Kress, Anne S. Pohlman, and Jesse B. Hall
Am J Respir Crit Care Med , 2002, Vol 166
Critically ill patients requiring mechanical ventilation are frequently treated with sedatives and analgesics. Kwnoledge about these medications is derived from operating room investigations, an environment often very different the intensive care unit (ICU). Recently, important complications related to sedation practices in the ICU and efforts to modify sedation practices in the ICU have begun. Sedation practices vary widely between institutions, partly because of institutional bias and partly because requirements for sedation vary greatly from patient to patient. This commentary discusses principles and goals of sedation in the ICU data from publications on this topic. Certainly, some patients in the ICU require little or no sedation. Nonpharmacological means (e.g., patient reassurance, positioning comfortably in bed) should be attempted initially in all patients; however, this commentary focuses on patients who require mechanical ventilation and pharmacological means of sedation. This commentary does not review individual medications for sedation and analgesia; the reader is referred to guidelines by Jacobi and coworkers (Jacobi et al., 2002) for a review of this topic.
A new frontier in critical care: saving the injuried brain.
Link veloci
Gestire il dolore
Flowchart doloreVNR
BPS
Gestire la sedazione
Flowchart sedaz/agitazRASS
Gestire il delirium
Flowchart DeliriumManuale CAM-ICU
Scheda di lavoro CAM-ICU
ICDSC
Questo sito è stato realizzato grazie al contributo di:
Finanziamento per la Ricerca Indipendente
(Decreto DGS 13456 del 22 dicembre 2010)