Interpreting and Implementing the 2018 Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption Clinical Practice Guideline

被引：40

作者：

Balas, Michele C. ^{[1
,2
]}

Weinhouse, Gerald L. ^{[3
,4
]}

Denehy, Linda ^{[5
]}

Chanques, Gerald ^{[6
]}

Rochwerg, Bram ^{[7
]}

Misak, Cheryl J. ^{[8
]}

Skrobik, Yoanna ^{[9
]}

Devlin, John W. ^{[10
,11
]}

Fraser, Gilles L. ^{[12
,13
]}

机构：

[1] Ohio State Univ, Coll Nursing, Ctr Excellence Crit & Complex Care, Columbus, OH 43210 USA

[2] Ohio State Univ, Wexner Med Ctr, Columbus, OH 43210 USA

[3] Harvard Med Sch, Boston, MA USA

[4] Brigham & Womens Hosp, Div Pulm & Crit Care, 75 Francis St, Boston, MA 02115 USA

[5] Univ Melbourne, Melbourne Sch Hlth Sci, Melbourne, Vic, Australia

[6] Univ Montpellier, Montpellier Univ St Eloi Hosp, Dept Anesthesia & Intens Care, PhyMedExp, Montpellier, France

[7] McMaster Univ, Dept Med, Hamilton, ON, Canada

[8] Univ Toronto, Dept Philosophy, Toronto, ON, Canada

[9] McGill Univ, Fac Med, Montreal, PQ, Canada

[10] Northeastern Univ, Sch Pharm, Boston, MA 02115 USA

[11] Tufts Med Ctr, Div Pulm Crit Care & Sleep Med, Boston, MA USA

[12] Tufts Univ, Sch Med, Boston, MA 02111 USA

[13] Maine Med Ctr, Dept Crit Care, Portland, ME 04102 USA

来源：

CRITICAL CARE MEDICINE | 2018年 / 46卷 / 09期

关键词：

agitation; delirium; immobility; implementation science; intensive care; pain; practice guideline; sleep; INTENSIVE-CARE-UNIT; EARLY EXERCISE/MOBILITY BUNDLE; BREATHING COORDINATION; PAD GUIDELINES; ICU PATIENTS; OUTCOMES; QUALITY; MONITORING/MANAGEMENT; OPPORTUNITIES; INTERVENTION;

D O I：

10.1097/CCM.0000000000003307

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The 2018 Clinical Practice Guideline for the Prevention and Management of Pain, Agitation (Sedation), Delirium, Immobility, and Sleep (Disruption) (PADIS) in adult patients in the ICU addresses new management challenges related to pain, agitation, and delirium and offers guidance on two additional topics rehabilitation/mobility and sleep (1, 2). The PADIS guidelines build on the 2013 Society of Critical Care Medicine (SCCM) PAD guidelines (3) and incorporate a number of methodological innovations, including critical illness survivor input from start to finish (4 6). The PADIS methods, with an emphasis on those approaches that are novel, are outlined in a separate methods article (7). © 2018 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.

引用

页码：1464 / 1470

页数：7

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