Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU
| العنوان: | Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU |
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| المؤلفون: | Michele C. Balas, Cheryl Misak, Aaron M. Joffe, Nathaniel E. Brummel, Arjen J. C. Slooter, Sharon McKinley, Kathleen Puntillo, Xavier Drouot, Karen J. Bosma, Gerald L. Weinhouse, Dale M. Needham, Yahya Shehabi, Pratik P. Pandharipande, Linda Denehy, Ken Kiedrowski, Brenda T. Pun, Mark E. Nunnally, Sina Nikayin, Michelle E. Kho, Chris Winkelman, John Centofanti, Paul M. Szumita, Jocelyn E. Harris, Karin J. Neufeld, Pamela Flood, Carrie Price, Richard R. Riker, Margaret A. Pisani, Paula L. Watson, John P. Kress, Gilles L. Fraser, Bram Rochwerg, Mark van den Boogaard, John W. Devlin, Yoanna Skrobik, Bryce R.H. Robinson, Julie A. Lanphere, Céline Gélinas, Gerald Chanques, Jean François Payen, Waleed Alhazzani |
| المساهمون: | Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Northeastern University [Boston], Université de Montréal (UdeM), McGill University = Université McGill [Montréal, Canada], Johns Hopkins University (JHU), Utrecht University [Utrecht], Vanderbilt University Medical Center [Nashville], Vanderbilt University [Nashville], McMaster University [Hamilton, Ontario], Ohio State University [Columbus] (OSU), Radboud University Medical Center [Nijmegen], University of Western Ontario (UWO), University of Melbourne, Centre hospitalier universitaire de Poitiers (CHU Poitiers), University of Washington [Seattle], University of Chicago, Johns Hopkins University School of Medicine [Baltimore], Yale University [New Haven], University of California [San Francisco] (UC San Francisco), University of California (UC), Monash University [Melbourne], Brigham and Women's Hospital [Boston], Case Western Reserve University [Cleveland], Aiello, Mélisande, University of California [San Francisco] (UCSF), University of California |
| المصدر: | Critical Care Medicine Critical Care Medicine, Lippincott, Williams & Wilkins, 2018, 46 (9), pp.e825-e873. ⟨10.1097/CCM.0000000000003299⟩ Critical Care Medicine, 46, e825-e873 Devlin, JW; Skrobik, Y; Gelinas, C; Needham, DM; Slooter, AJC; Pandharipande, PP; et al.(2018). Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. CRITICAL CARE MEDICINE, 46(9), E825-E873. doi: 10.1097/CCM.0000000000003299. UCSF: Retrieved from: http://www.escholarship.org/uc/item/7rx6v813 Critical care medicine, vol 46, iss 9 The Lens Critical Care Medicine, 46(9), e825. Lippincott Williams and Wilkins Critical Care Medicine, 2018, 46 (9), pp.1532-1548. ⟨10.1097/CCM.0000000000003259⟩ Critical Care Medicine, Lippincott, Williams & Wilkins, 2018, 46 (9), pp.1532-1548. ⟨10.1097/CCM.0000000000003259⟩ Critical Care Medicine, 46, 9, pp. e825-e873 |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | MESH: delirium, guidelines, intensive care, mobilization, pain, sedation, sleep, Psychomotor agitation, health care facilities, manpower, and services, [SDV]Life Sciences [q-bio], Conscious Sedation, Critical Care and Intensive Care Medicine, law.invention, 0302 clinical medicine, 7.1 Individual care needs, Quality of life, law, pain, guidelines, 030212 general & internal medicine, ComputingMilieux_MISCELLANEOUS, Psychomotor Agitation, intensive care, [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology, Rehabilitation, Pain Research, Intensive care unit, 3. Good health, [SDV] Life Sciences [q-bio], Intensive Care Units, sedation, Public Health and Health Services, Chronic Pain, medicine.symptom, immobility, Restraint, Physical, Sleep Wake Disorders, medicine.medical_specialty, Critical Care, Sedation, Clinical Sciences, education, MEDLINE, Pain, Nursing, Restraint, behavioral disciplines and activities, Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18], 7.3 Management and decision making, 03 medical and health sciences, delirium, Clinical Research, Intensive care, Behavioral and Social Science, mental disorders, Physical, Journal Article, medicine, Humans, Pain Management, sleep, mobilization, business.industry, Prevention, Delirium, 030208 emergency & critical care medicine, Emergency & Critical Care Medicine, nervous system diseases, Good Health and Well Being, Emergency medicine, Management of diseases and conditions, Deep Sedation, business, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| الوصف: | Item does not contain fulltext OBJECTIVE: To update and expand the 2013 Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the ICU. DESIGN: Thirty-two international experts, four methodologists, and four critical illness survivors met virtually at least monthly. All section groups gathered face-to-face at annual Society of Critical Care Medicine congresses; virtual connections included those unable to attend. A formal conflict of interest policy was developed a priori and enforced throughout the process. Teleconferences and electronic discussions among subgroups and whole panel were part of the guidelines' development. A general content review was completed face-to-face by all panel members in January 2017. METHODS: Content experts, methodologists, and ICU survivors were represented in each of the five sections of the guidelines: Pain, Agitation/sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption). Each section created Population, Intervention, Comparison, and Outcome, and nonactionable, descriptive questions based on perceived clinical relevance. The guideline group then voted their ranking, and patients prioritized their importance. For each Population, Intervention, Comparison, and Outcome question, sections searched the best available evidence, determined its quality, and formulated recommendations as "strong," "conditional," or "good" practice statements based on Grading of Recommendations Assessment, Development and Evaluation principles. In addition, evidence gaps and clinical caveats were explicitly identified. RESULTS: The Pain, Agitation/Sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption) panel issued 37 recommendations (three strong and 34 conditional), two good practice statements, and 32 ungraded, nonactionable statements. Three questions from the patient-centered prioritized question list remained without recommendation. CONCLUSIONS: We found substantial agreement among a large, interdisciplinary cohort of international experts regarding evidence supporting recommendations, and the remaining literature gaps in the assessment, prevention, and treatment of Pain, Agitation/sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption) in critically ill adults. Highlighting this evidence and the research needs will improve Pain, Agitation/sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption) management and provide the foundation for improved outcomes and science in this vulnerable population. |
| وصف الملف: | application/pdf; image/pdf |
| تدمد: | 0090-3493 1530-0293 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d4f25aa2ddbac88e88ae61a83bc5fb6b https://hdl.handle.net/2066/196361 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....d4f25aa2ddbac88e88ae61a83bc5fb6b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00903493 15300293 |
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