Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015) - short version.
Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015) - short version.
复制标题
DOI：
10.3205/000223
复制
发表时间：
2015-01-01
期刊：
影响因子：
--
通讯作者：
Weisshaar, Guido
中科院分区：
文献类型：
--
作者：
Baron, Ralf;Binder, Andreas;Weisshaar, Guido
2010年，在德国麻醉学和重症监护医学会(DGAI)和德国重症监护和急救医学跨学科协会(DIVI)的指导下，12个德国医学会发布了《关于重症监护中的止痛、镇静和妄想管理的循证和共识指南》。自那以后，几项新的研究和出版物大大增加了证据，包括美国重症监护医学会(ACCM)与重症监护医学会(SCCM)和美国卫生系统药剂师学会(ASHP)从2013年开始的新建议。对于这一更新，需要对指南进行重大调整和扩展，以涵盖治疗的新方面，如睡眠和焦虑管理。采用牛津循证医学中心的标准对文献进行系统检索和评价。17个国家协会的代表审查并核准了用来拟订这些建议的证据。三个等级的推荐如下：A级(强烈推荐)、B级(推荐)和0级(开放推荐)。其结果是形成了一套全面的、跨学科的、基于证据和共识的3级指导方针。这本出版物是为所有ICU专业人员设计的，并考虑到了所有危重患者群体。它代表了以症状为导向的预防、诊断和治疗精神错乱、焦虑、压力的指南，以及重症监护医学中基于协议的止痛、镇静和睡眠管理。
In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine) and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine), twelve German medical societies published the "Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care". Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from the American College of Critical Care Medicine (ACCM) in conjunction with Society of Critical Care Medicine (SCCM) and American Society of Health-System Pharmacists (ASHP) from 2013. For this update, a major restructuring and extension of the guidelines were needed in order to cover new aspects of treatment, such as sleep and anxiety management. The literature was systematically searched and evaluated using the criteria of the Oxford Center of Evidence Based Medicine. The body of evidence used to formulate these recommendations was reviewed and approved by representatives of 17 national societies. Three grades of recommendation were used as follows: Grade "A" (strong recommendation), Grade "B" (recommendation) and Grade "0" (open recommendation). The result is a comprehensive, interdisciplinary, evidence and consensus-based set of level 3 guidelines. This publication was designed for all ICU professionals, and takes into account all critically ill patient populations. It represents a guide to symptom-oriented prevention, diagnosis, and treatment of delirium, anxiety, stress, and protocol-based analgesia, sedation, and sleep-management in intensive care medicine.