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Titolo:
Multidisciplinary management of sedation and analgesia in critical care
Autore:
Sessler, CN; Grap, MJ; Brophy, GM;
Indirizzi:
Virginia Commonwealth Univ, Med Coll Virginia Hosp, Div Pulm & Crit Care Med, Richmond, VA 23298 USA Virginia Commonwealth Univ Richmond VA USA 23298 , Richmond, VA 23298 USA Virginia Commonwealth Univ, Med Coll Virginia Hosp, Sch Nursing, Richmond,VA 23298 USA Virginia Commonwealth Univ Richmond VA USA 23298 g, Richmond,VA 23298 USA Virginia Commonwealth Univ, Med Coll Virginia Hosp, Sch Pharm, Richmond, VA 23298 USA Virginia Commonwealth Univ Richmond VA USA 23298 , Richmond, VA 23298 USA
Titolo Testata:
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE
fascicolo: 2, volume: 22, anno: 2001,
pagine: 211 - 225
SICI:
1069-3424(2001)22:2<211:MMOSAA>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; TORSADES-DE-POINTES; LONG-TERM SEDATION; INTENSIVE-CARE; ILL PATIENTS; MECHANICAL VENTILATION; INTRAVENOUS HALOPERIDOL; CONTINUOUS-INFUSION; PROLONGED SEDATION; SLEEP DISRUPTION;
Keywords:
sedation; analgesia; guidelines;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
102
Recensione:
Indirizzi per estratti:
Indirizzo: Sessler, CN Virginia Commonwealth Univ, Med Coll Virginia Hosp, Div Pulm &Crit Care Med, Box 980050, Richmond, VA 23298 USA Virginia Commonwealth Univ Box 980050 Richmond VA USA 23298 SA
Citazione:
C.N. Sessler et al., "Multidisciplinary management of sedation and analgesia in critical care", SEM RESP CR, 22(2), 2001, pp. 211-225

Abstract

Management of sedation and analgesia in critical care medicine is a multidisciplinary process that involves physicians, nurses, pharmacists, and other healthcare providers. Optimal management of these common issues includes recognition of the importance of predisposing and causative conditions thatcontribute to the sensations of pain and discomfort, anxiety, and delirium. Treatment includes pharmacological intervention, correction of predisposing factors, and use of other preventative and nonpharmacological measures. It is increasingly clear that, although necessary for patient comfort, sedative and analgesic medications can have adverse consequences, including side-effects as well as prolonged mechanical ventilation and ICU length of stay. Optimal use of sedative and analgesic medications involves matching unique properties of specific medications with individual patient characteristics. Guidelines that minimize unnecessary variability in practice, prevent excessive medication, and emphasize management based on individual patient characteristics improve the effective utilization of these medications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/01/20 alle ore 01:47:52