[Pain management]
| Autor: | Payen, Jean-François, Chanques, Gérald |
|---|---|
| Přispěvatelé: | Clinique de réanimation médicale, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon, Dojat, Michel |
| Jazyk: | francouzština |
| Rok vydání: | 2008 |
| Předmět: |
MESH: Combined Modality Therapy
MESH: Analgesics Critical Care Conscious Sedation Pain MESH: Patient Education as Topic Therapeutics MESH: Pain Measurement MESH: Disease Management MESH: Length of Stay Patient Education as Topic MESH: Practice Guidelines as Topic MESH: Hypnotics and Sedatives Humans Hypnotics and Sedatives Pain Management MESH: Therapeutics MESH: Intensive Care MESH: Respiration Artificial Infusions Intravenous MESH: Infusions Intravenous Pain Measurement Analgesics MESH: Conscious Sedation MESH: Humans MESH: Anesthesia Local Disease Management Length of Stay MESH: Deep Sedation Combined Modality Therapy Respiration Artificial MESH: Analgesia Practice Guidelines as Topic MESH: Guideline Adherence Guideline Adherence MESH: Pain Analgesia Deep Sedation Anesthesia Local |
| Zdroj: | Annales Françaises d'Anesthésie et de Réanimation Annales Françaises d'Anesthésie et de Réanimation, Elsevier Masson, 2008, 27 (7-8), pp.633-40. ⟨10.1016/j.annfar.2008.04.015⟩ |
| ISSN: | 0750-7658 |
| DOI: | 10.1016/j.annfar.2008.04.015⟩ |
| Popis: | International audience; Analgesia and hypnosis are two separate entities and should result in distinct assessment and management for patients admitted to an intensive care unit (ICU). Those patients are exposed to moderate-severe pain and they are likely to remember pain as one bothersome experience. Any cause of patient discomfort is sought with the priority given to pain and adequate analgesia. Assessing pain must rely upon the use of clinical scoring systems, although these instruments are still underused in ICU. Satisfactory levels of analgesia by continuous infusion of opioids during times without stimulation do not guarantee against pain reactions during procedures (endotracheal suctioning, mobilization, wound care and dressing change, removal of chest tube). The concept of multimodal analgesia should be extended to the ICU since it may reduce the opioids requirements. In order to facilitate systematic pain and sedation assessment and to adjust daily drug dosages accordingly, it appears crucial to promote educational programs and elaboration of protocols/guidelines in ICU. Protocols/guidelines may help caregivers to rationally use sedatives and opioids and possibly reduce mechanical ventilation and ICU length of stay. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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