Implementation of the Pain, Agitation, and Delirium Clinical Practice Guidelines and Promoting Patient Mobility to Prevent Post-Intensive Care Syndrome
Implementation of the Pain, Agitation, and Delirium Clinical Practice Guidelines and Promoting Patient Mobility to Prevent Post-Intensive Care Syndrome
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DOI：
10.1097/ccm.0b013e3182a24105
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发表时间：
2013-09-01
影响因子：
8.8
通讯作者：
Hopkins, Ramona O.
中科院分区：
文献类型：
--
作者：
Davidson, Judy E.;Harvey, Maurene A.;Hopkins, Ramona O.
危重病患者的生存与持续和严重的身体、认知和心理疾病有关。重症监护医学协会制定了疼痛、躁动和谵妄指南，并促进了流动性，以改善重症患者的护理。一个工作队已经开发了工具，以促进和快速实施将指南护理建议转化为实践。重症监护医学协会还组建了一个工作组，以评估危重病的长期后果。本文将探讨疼痛、激越和谵妄指南、移动建议和重症监护后综合征倡议之间的关系。实施疼痛、激越和谵妄指南，同时考虑到当前有关重症监护后综合征结局和潜在干预措施的数据，是改善患者及其家属结局的重要第一步。需要进行研究，以减少危重病的长期负面后果的影响，并充分了解ICU内和ICU后的最佳干预措施，沿着这些干预措施的最佳时机和剂量，以产生最佳的长期结果。
Surviving critical illness is associated with persistent and severe physical, cognitive, and psychological morbidities. The Society of Critical Care Medicine has developed pain, agitation, and delirium guidelines and promoted mobility to improve care of critically ill patients. A task force has developed tools to facilitate and rapidly implement the translation of guideline care recommendations into practice. The Society of Critical Care Medicine has also assembled a task force to assess the long-term consequences of critical illness. This article will explore relationships between the pain, agitation, and delirium guidelines, mobility recommendations, and post-intensive care syndrome initiative. Implementation of the pain, agitation, and delirium guidelines taking into account current data regarding post-intensive care syndrome outcomes and potential interventions are an important first step toward improving outcomes for patients and their families. Research is needed to reduce the impact of long-term negative consequences of critical illness and to fully understand the best within- and post-ICU interventions, along with the optimal timing and dose of such interventions to produce the best long-term outcomes.