S3-Leitlinie zu Analgesie, Sedierung und Delirmanagement in der Intensivmedizin : Kurzversion
| Autor: | Martin, J, Heymann, A, Bäsell, K, Baron, R, Biniek, R, Bürkle, H, Dall, P, Dictus, C, Eggers, V, Eichler, I, Engelmann, L, Garten, L, Hartl, W, Haase, U, Huth, R, Kessler, P, Kleinschmidt, S, Koppert, W, Kretz, FJ, Laubenthal, H, Marggraf, G, Meiser, A, Neugebauer, E, Neuhaus, U, Putensen, C, Quintel, M, Reske, A, Roth, B, Scholz, J, Schröder, S, Schreiter, D, Schüttler, J, Schwarzmann, G, Stingele, R, Tonner, P, Tränkle, P, Treede, RD, Trupkovic, T, Tryba, M, Wappler, F, Waydhas, C, Spies, C |
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| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Critical Care
Critical Illness Conscious Sedation Medizin lcsh:Medicine Article 03 medical and health sciences 0302 clinical medicine Germany Humans 030212 general & internal medicine Leitlinie intensive care Evidence-Based Medicine treatment Intensivmedizin evidence lcsh:R Analgesie Intensive Care Delirium 030208 emergency & critical care medicine analgesia 610 Medical sciences Medicine 3. Good health Delir monitoring ddc: 610 sedation Practice Guidelines as Topic Sedierung Analgesia Therapie guideline |
| Zdroj: | GMS German Medical Science GMS German Medical Science, Vol 8, p Doc02 (2010) GMS German Medical Science; VOL: 8; DOC02 /20100210/ |
| ISSN: | 1612-3174 |
| Popis: | Targeted monitoring of analgesia, sedation and delirium, as well as their appropriate management in critically ill patients is a standard of care in intensive care medicine. With the undisputed advantages of goal-oriented therapy established, there was a need to develop our own guidelines on analgesia and sedation in intensive care in Germany and these were published as 2nd Generation Guidelines in 2005. Through the dissemination of these guidelines in 2006, use of monitoring was shown to have improved from 8 to 51% and the use of protocol-based approaches increased to 46% (from 21%). Between 2006–2009, the existing guidelines from the DGAI (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin) and DIVI (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin) were developed into 3rd Generation Guidelines for the securing and optimization of quality of analgesia, sedation and delirium management in the intensive care unit (ICU). In collaboration with another 10 professional societies, the literature has been reviewed using the criteria of the Oxford Center of Evidence Based Medicine. Using data from 671 reference works, text, diagrams and recommendations were drawn up. In the recommendations, Grade “A” (very strong recommendation), Grade “B” (strong recommendation) and Grade “0” (open recommendation) were agreed. As a result of this process we now have an interdisciplinary and consensus-based set of 3rd Generation Guidelines that take into account all critically illness patient populations. The use of protocols for analgesia, sedation and treatment of delirium are repeatedly demonstrated. These guidelines offer treatment recommendations for the ICU team. The implementation of scores and protocols into routine ICU practice is necessary for their success. GMS German Medical Science; 8:Doc02; ISSN 1612-3174 |
| Databáze: | OpenAIRE |
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