Sedation and Analgesia in the Critically Ill Adult

GL Fraser, RR Riker

Curr Opin Anaesthesiol, 2007, 20:119–123

Patient restlessness, discomfort and agitation are arguably the most common clinical issues affecting critically ill adults. They are associated with a wide variety of conditions ranging from hypoxia and metabolic derangements to pain or delirium to substance withdrawal. In the last decade, an array of validated tools to assess agitation, sedation, delirium and analgesia have been developed specifically for use in the intensive care unit (ICU). These tools have enabled clinicians to measure the incidence of pain and agitation and to better judge the effectiveness of various interventions and pharmacologic therapies. As a result, newer strategies to incorporate best approaches and avoid adverse events from specific medications or ineffective or dangerous algorithms for their use are now available. Although a great deal more needs to be learned, recent advances can help ICU practitioners, resulting in more comfortable patients and reducing their risk for adverse events.

letteratura_analgesia sedazione_analgesia

A new frontier in critical care: saving the injuried brain.

Link veloci

Gestire il dolore

ico-flowchartdoloreFlowchart dolore

Gestire la sedazione

ico-flowchart-sedaz-agitFlowchart sedaz/agitaz

Gestire il delirium

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


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