2013
DOI: 10.1016/j.jcrc.2013.06.019
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Implementation of a protocol for integrated management of pain, agitation, and delirium can improve clinical outcomes in the intensive care unit: A randomized clinical trial

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Cited by 85 publications
(70 citation statements)
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References 41 publications
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“…Implementing sedation protocols to achieve light sedation has been proven feasible and reproducible [32,33]. This evidence is important because deep sedation still seems to be current practice in many ICUs worldwide [5,13] and is present in 35% of the patients enrolled in the present study.…”
Section: Discussionmentioning
confidence: 84%
“…Implementing sedation protocols to achieve light sedation has been proven feasible and reproducible [32,33]. This evidence is important because deep sedation still seems to be current practice in many ICUs worldwide [5,13] and is present in 35% of the patients enrolled in the present study.…”
Section: Discussionmentioning
confidence: 84%
“…The panel of experts reviewed the instrument and confirmed that the individual items included were appropriate, accurate, and representative of the content domain being evaluated within the study. The reliability and validity of RASS was acceptable in another research done by Mansouri et al (2013) , the Pearson correlation coefficients obtained was 0.92. [29] Of the available observational pain scales, the CPOT has shown superior reliability and validity when used in nonverbal critically ill adults.…”
Section: Validity and Reliability Of Study Toolsmentioning
confidence: 75%
“…The reliability and validity of RASS was acceptable in another research done by Mansouri et al (2013) , the Pearson correlation coefficients obtained was 0.92. [29] Of the available observational pain scales, the CPOT has shown superior reliability and validity when used in nonverbal critically ill adults. The interrater reliability of CPOT was assessed by Gélinas and Johnson (2007) and found to be 0.80-0.93.…”
Section: Validity and Reliability Of Study Toolsmentioning
confidence: 75%
“…Mansouri P et al demonstrated a decrease of 3 days in ICU stay with the use of protocols and scales for analgesia and sedation. 20 According to Larson EG et al, the use of scales improves communication within the multidisciplinary team, and thus the therapeutic plan and patient management. 22 Only one recent study, by Curley MAW et al, showed that the use of protocol did not alter the duration of mechanical ventilation, but with a complex relation between pain, agitation, and alertness, and a lower use of medication, with no more adverse events.…”
Section: Resultsmentioning
confidence: 99%