Pain Management Principles in the Critically Ill

Erstad, Brian L.; Puntillo, Kathleen; Gilbert, Hugh C.; Grap, Mary Jo; Li, Denise; Medina, Justine; Mularski, Richard A.; Pasero, Chris; Varkey, Basil; Sessler, Curtis N.

doi:10.1378/chest.08-2264

Cited by 126 publications

(102 citation statements)

References 67 publications

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“…Mnogi pacijenti osećaju bol tokom lečenja u JIL i označavaju ga kao važan izvor diskomfora 9 . Procenjuje se da je bol velikog intenziteta prisutan kod oko 50% pacijenata u hirurškim i nehirurškim JIL 10 .…”

Section: Bol I Analgezija U Jilunclassified

Sedation in intensive care units

Veličković¹,

Palibrk²

2018

Serb J Anest Inten Therapy

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Section: Bol I Analgezija U Jilunclassified

Sedation in intensive care units

Veličković¹,

Palibrk²

2018

Serb J Anest Inten Therapy

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“…Moreover, there can be significant difficulty in distinguishing adverse drug events from other comorbid medical conditions in ICU patients. 13 Highlighting this clinical dilemma of treating pain in ICU patients, the SUPPORT investigators examined more than 4000 ICU patients over 2 years. In the data-gathering phase I portion, family members reported moderate to severe pain at least half the time for 50% of conscious patients who died in the hospital.…”

Section: Barriers To Pain Treatment In the Intensive Care Unitmentioning

confidence: 99%

Pain Management in the Critically Ill Patient

Erdek¹,

Gordon

2014

Practical Management of Pain

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“…Most critically ill patients will experience pain during their ICU stay (50), and nearly 50% will experience significant pain (51). Studies suggest that pain may be a risk factor for delirium (27,31).…”

Section: Icu-level Strategiesmentioning

confidence: 99%

Can Intensive Care Unit Delirium Be Prevented and Reduced?. Lessons Learned and Future Directions

2013

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Delirium is a form of acute brain injury that occurs in up to 80% of critically ill patients. It is a source of enormous societal and financial burdens due to increased mortality, prolonged intensive care unit (ICU) and hospital stays, and long-term neuropsychological and functional deficits in ICU survivors. These poor outcomes are not only independently associated with the development of delirium but are also associated with increasing delirium duration. Therefore, interventions should strive both to prevent the occurrence of ICU delirium and to limit its persistence.Both patient-centered and ICU-acquired risk factors need to be addressed early in the ICU course to maximize the efficacy of prevention strategies and to improve long-term outcomes of ICU patients. In this article, we review strategies for early detection of patients who are delirious and who are at high risk for developing delirium, and we present a clinically useful ICU delirium prevention and reduction strategy for clinicians to incorporate into their daily practice.

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Pain Management Principles in the Critically Ill

Cited by 126 publications

References 67 publications

Sedation in intensive care units

Sedation in intensive care units

Pain Management in the Critically Ill Patient

Can Intensive Care Unit Delirium Be Prevented and Reduced?. Lessons Learned and Future Directions

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