Intensivmedizin up2date 2014; 10(01): 6-10
DOI: 10.1055/s-0034-1364919
SOPs in der Intensivmedizin
© Georg Thieme Verlag KG Stuttgart · New York

SOP Analgesie und Sedierung

Julian Bösel
,
Björn Ellger
Further Information

Publication History

Publication Date:
11 February 2014 (online)

Einleitung zur Rubrik

In dieser Rubrik stellen wir Standard Operating Procedures (SOPs) für häufige, intensivmedizinisch relevante Prozesse vor. Die Form ist eher im Sinne einer Schablone zu verstehen, und wir verzichten auf Details wie Dosisangaben oder seltene Ausnahmen. Sie sind zu verstehen als – durchaus subjektiv gefärbte – Anregung, eigene, auf lokale Gegebenheiten adaptierte stationsinterne SOPs zu entwerfen und zu implementieren.

 
  • Literatur

  • 1 Brattebo G, Hofoss D, Flaatten H et al. Effect of a scoring system and protocol for sedation on duration of patientsʼ need for ventilator support in a surgical intensive care unit. BMJ 2002; 324: 1386-1389
  • 2 Breen D, Karabinis A, Malbrain M et al. Decreased duration of mechanical ventilation when comparing analgesia-based sedation using remifentanil with standard hypnotic-based sedation for up to 10 days in intensive care unit patients: a randomised trial [ISRCTN47583497]. Crit Care 2005; 9: R200-210
  • 3 Sessler CN, Varney K. Patient-focused sedation and analgesia in the ICU. Chest 2008; 133: 552-565
  • 4 Martin J, Heymann A, Basell K et al. Evidence and consensus-based German guidelines for the management of analgesia, sedation and delirium in intensive care--short version. Ger Med Sci 2010; 8 Doc02
  • 5 Barr J, Fraser GL, Puntillo K et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med 2013; 41: 263-306
  • 6 Gelinas C, Arbour C. Behavioral and physiologic indicators during a nociceptive procedure in conscious and unconscious mechanically ventilated adults: similar or different?. J Crit Care 2009; 24: 628 , e627-617.
  • 7 Sessler CN, Grap MJ, Ramsay MA. Evaluating and monitoring analgesia and sedation in the intensive care unit. Crit Care 2008; 12 (Suppl. 03) S2
  • 8 Sessler CN, Gosnell MS, Grap MJ et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002; 166: 1338-1344
  • 9 Riker RR, Picard JT, Fraser GL. Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients. Crit Care Med 1999; 27: 1325-1329
  • 10 Payen JF, Bru O, Bosson JL et al. Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med 2001; 29: 2258-2263
  • 11 Young J, Siffleet J, Nikoletti S et al. Use of a Behavioural Pain Scale to assess pain in ventilated, unconscious and/or sedated patients. Intensive Crit Care Nurs 2006; 22: 32-39
  • 12 Gelinas C, Fillion L, Puntillo KA et al. Validation of the critical-care pain observation tool in adult patients. Am J Crit Care 2006; 15: 420-427
  • 13 Schnakers C, Chatelle C, Vanhaudenhuyse A et al. The Nociception Coma Scale: a new tool to assess nociception in disorders of consciousness. Pain 2010; 148: 215-219
  • 14 Morandi A, Brummel NE, Ely EW. Sedation, delirium and mechanical ventilation: the 'ABCDE' approach. Curr Opin Crit Care 2011; 17: 43-49
  • 15 Kress JP, Pohlman AS, O'Connor MF et al. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000; 342: 1471-1477
  • 16 Girard TD, Kress JP, Fuchs BD et al. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet 2008; 371: 126-134
  • 17 Mehta S, Burry L, Cook D et al. Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation protocol: a randomized controlled trial. JAMA 2012; 308: 1985-1992