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.
A new frontier in critical care: saving the injuried brain.
Gestire il doloreFlowchart dolore
Gestire la sedazioneFlowchart sedaz/agitaz
Gestire il deliriumFlowchart Delirium
Scheda di lavoro CAM-ICU
Questo sito è stato realizzato grazie al contributo di:
Finanziamento per la Ricerca Indipendente
(Decreto DGS 13456 del 22 dicembre 2010)