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Sedation and Pain Management in the ICU

  • Chapter
Yearbook of Intensive Care and Emergency Medicine

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 2009))

Abstract

During the past decade, critical care physicians have recognized that routinely maintaining patients in a pharmacological deep stupor or unconsciousness as a consequence of sedation is not beneficial. Data has since emerged to support the concept that more optimal, lower dosing of sedatives with preservation of the wakeful state is important in reducing mortality and shortening the duration of mechanical ventilation and overall intensive care unit (ICU) length of stay (LOS) [1–4]. Such emphasis also aids in supporting patient autonomy and in the prevention of and early intervention for evolving neurological deterioration [5–7]. Such tenets are in keeping with the guidelines from the Society of Critical Care Medicine (SCCM) for patient sedation [8]. More interactive patients require that regular assessments be made to ensure adequacy of comfort and analgesia. Along parallel lines, the US Joint Commission on Accreditation of Healthcare Organizations (JCAHO) introduced in 2000 their mandate for the implementation of standards for pain assessment and treatment in hospitalized patients [9].

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Critical Care Division of Neuroanesthesia/Neurosciences Critical Care, The Johns Hopkins Hospital, 600 N. Wolfe Street, Meyer 8-140, Baltimore, MD, 21287, USA

    M. A. Mirski

  2. The Johns Hopkins Medical Institutions, 600 N. Wolfe Street Carnegie 180, Baltimore, MD, 21287-6180, USA

    J. J. Lewin III

Authors
  1. M. A. Mirski
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  2. J. J. Lewin III
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Editors and Affiliations

  1. Department of Intensive Care Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Head) (Head)

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Mirski, M.A., Lewin, J.J. (2009). Sedation and Pain Management in the ICU. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 2009. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-92276-6_80

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  • DOI: https://doi.org/10.1007/978-3-540-92276-6_80

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-92275-9

  • Online ISBN: 978-3-540-92276-6

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