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Commentary: Balancing sedation and analgesia in the critically ill

Identifieur interne : 00BD80 ( Main/Exploration ); précédent : 00BD79; suivant : 00BD81

Commentary: Balancing sedation and analgesia in the critically ill

Auteurs : Gilbert Park [Royaume-Uni] ; Douglas Coursin [États-Unis] ; E. Wesley Ely [États-Unis] ; Michael England [États-Unis] ; Gilles L. Fraser [États-Unis] ; Jean Mantz [France] ; Sharon Mckinley [Australie] ; Michael Ramsay [États-Unis] ; Jens Scholz [Allemagne] ; Mervyn Singer [Royaume-Uni] ; Robert Sladen [États-Unis] ; Jeffery S. Vender [États-Unis] ; Lorie Wild [États-Unis]

Source :

RBID : Pascal:02-0128657

Descripteurs français

English descriptors

Abstract

Critically ill patients frequently receive sedatives and analgesics as intermittent bolus injections or continuous intravenous infusions. Sedatives are used to calm patients pharmacologically, relieve anxiety, and, at times, treat agitation or delirium. Analgesic agents provide pain relief from primary pathologies or secondary insults (e.g., discomfort associated with bedside care or the use of various support devices, such as mechanical ventilation or during invasive procedures). Increasing recognition of the risks and benefits of sedative and analgesic use lead to refinement of guidelines to optimize their safe and appropriate application. The authors present a multidisciplinary overview that promotes a generic approach to sedation and analgesia in the critically ill. They emphasize the need for assessment of patients, preferably with standardized subjective and objective criteria, with continual reassessment, and with the appropriate use of pharmacologic and nonpharmacologic techniques to provide patient comfort.


Affiliations:


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Le document en format XML

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<term>Analgesia</term>
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<term>Human</term>
<term>Monitoring</term>
<term>Pain</term>
<term>Sedation</term>
<term>Treatment</term>
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<term>Malade état grave</term>
<term>Sédation</term>
<term>Analgésie</term>
<term>Monitorage</term>
<term>Traitement</term>
<term>Douleur</term>
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<div type="abstract" xml:lang="en">Critically ill patients frequently receive sedatives and analgesics as intermittent bolus injections or continuous intravenous infusions. Sedatives are used to calm patients pharmacologically, relieve anxiety, and, at times, treat agitation or delirium. Analgesic agents provide pain relief from primary pathologies or secondary insults (e.g., discomfort associated with bedside care or the use of various support devices, such as mechanical ventilation or during invasive procedures). Increasing recognition of the risks and benefits of sedative and analgesic use lead to refinement of guidelines to optimize their safe and appropriate application. The authors present a multidisciplinary overview that promotes a generic approach to sedation and analgesia in the critically ill. They emphasize the need for assessment of patients, preferably with standardized subjective and objective criteria, with continual reassessment, and with the appropriate use of pharmacologic and nonpharmacologic techniques to provide patient comfort.</div>
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<country name="Australie">
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<name sortKey="Mckinley, Sharon" sort="Mckinley, Sharon" uniqKey="Mckinley S" first="Sharon" last="Mckinley">Sharon Mckinley</name>
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<country name="Allemagne">
<region name="Hambourg">
<name sortKey="Scholz, Jens" sort="Scholz, Jens" uniqKey="Scholz J" first="Jens" last="Scholz">Jens Scholz</name>
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