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2021 KSCCM clinical practice guidelines for pain, agitation, delirium, immobility, and sleep disturbance in the intensive care unit

이학재|하은진|하태순|서이준
대한중환자의학회 (The Korean Society Of Critical Care Medicine)|2022.02|Acute and Critical Care|제37권 제1호|pp. 1-25|DOI 10.4266/acc.2022.00094

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키워드

painsleepguidelinerehabilitationdeliriumagitation

초록

We revised and expanded the “2010 Guideline for the Use of Sedatives and Analgesics in the Adult Intensive Care Unit (ICU).” We revised the 2010 Guideline based mainly on the 2018 “Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption (PADIS) in Adult Patients in the ICU,” which was an updated 2013 pain, agitation, and delirium guideline with the inclusion of two additional topics (rehabilitation/mobility and sleep). Since it was not possible to hold face-to-face meetings of panels due to the coronavirus disease 2019 (COVID-19) pandemic, all discussions took place via virtual conference platforms and e-mail with the participation of all panelists. All authors drafted the recommendations, and all panelists discussed and revised the recommendations several times. The quality of evidence for each recommendation was classified as high (level A), moderate (level B), or low/very low (level C), and all panelists voted on the quality level of each recommendation. The participating panelists had no conflicts of interest on related topics. The development of this guideline was independent of any industry funding. The Pain, Agitation/Sedation, Delirium, Immobility (rehabilitation/mobilization), and Sleep Disturbance panels issued 42 recommendations (level A, 6; level B, 18; and level C, 18). The 2021 clinical practice guideline provides up-to-date information on how to prevent and manage pain, agitation/sedation, delirium, immobility, and sleep disturbance in adult ICU patients. We believe that these guidelines can provide an integrated method for clinicians to manage PADIS in adult ICU patients.

Abstract

We revised and expanded the “2010 Guideline for the Use of Sedatives and Analgesics in the Adult Intensive Care Unit (ICU).” We revised the 2010 Guideline based mainly on the 2018 “Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption (PADIS) in Adult Patients in the ICU,” which was an updated 2013 pain, agitation, and delirium guideline with the inclusion of two additional topics (rehabilitation/mobility and sleep). Since it was not possible to hold face-to-face meetings of panels due to the coronavirus disease 2019 (COVID-19) pandemic, all discussions took place via virtual conference platforms and e-mail with the participation of all panelists. All authors drafted the recommendations, and all panelists discussed and revised the recommendations several times. The quality of evidence for each recommendation was classified as high (level A), moderate (level B), or low/very low (level C), and all panelists voted on the quality level of each recommendation. The participating panelists had no conflicts of interest on related topics. The development of this guideline was independent of any industry funding. The Pain, Agitation/Sedation, Delirium, Immobility (rehabilitation/mobilization), and Sleep Disturbance panels issued 42 recommendations (level A, 6; level B, 18; and level C, 18). The 2021 clinical practice guideline provides up-to-date information on how to prevent and manage pain, agitation/sedation, delirium, immobility, and sleep disturbance in adult ICU patients. We believe that these guidelines can provide an integrated method for clinicians to manage PADIS in adult ICU patients.

참고문헌 (110)

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관련 논문AI추천

Erratum : 2021 KSCCM clinical practice guidelines for pain, agitation, delirium, immobility, and sleep disturbance in the intensive care unit서이준, 이학재, 하은진, 하태순대한중환자의학회 · Acute and Critical Care2023 · 제38권 제1호Prevention and management of delirium in critically ill adult patients in the intensive care unit: a review based on the 2018 PADIS guidelinesHeung Bum Lee, Seung Yong Park대한중환자의학회 · Acute and Critical Care2019 · 제34권 제2호Utilization of pain and sedation therapy on noninvasive mechanical ventilation in Korean intensive care units: a multi-center prospective observational study강형구, 김세원, 김정수, 김태희, 문재영, 박성훈, 박승용, 박태선, 심윤수, 이광하, 장유진, 조재화, 최원일, 최은영, 황재준, Korean NIV Study Group대한중환자의학회 · Acute and Critical Care2020 · 제35권 제4호내과계 중환자실 전담 약사의 진통 진정 프로토콜 관리 및 중재에 대한 효과고진영, 김정미, 박효정, 이석용, 이영미, 인용원한국병원약사회 · 병원약사회지2018 · 제35권 제3호Factors influencing sleep quality in the intensive care unit: a descriptive pilot study in Korea안윤혜, 이상민, 이진우, Lee Hong Yeul대한중환자의학회 · Acute and Critical Care2023 · 제38권 제3호Change in management and outcome of mechanical ventilation in Korea: a prospective observational study강형구, 김영삼, 김윤성, 리원연, 박성훈, 박주희, 서지영, 심윤수, 이광하, 이연주, 이진화, 임채만, 홍지영, Heung Bum Lee, Jae Kyeom Sim, Kyung Chan Kim, Sang-Min Lee, So Young Park, Won-Il Choi, Won Jun Song대한내과학회 · The Korean Journal of Internal Medicine2022 · 제37권 제3호

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