Department of Anesthesia, Stanford University School of Medicine, Stanford, CA, USA.
Crit Care Med. 2013 Sep;41(9 Suppl 1):S99-115. doi: 10.1097/CCM.0b013e3182a16ff0.
In 2013, the American College of Critical Care Medicine published a revised version of the pain, agitation, and delirium guidelines. The guidelines included an ICU pain, agitation, and delirium care bundle designed to facilitate implementation of the pain, agitation, and delirium guidelines.
Review article.
Multispecialty critical care units.
Adult ICU patients.
This article describes: 1) the ICU pain, agitation, and delirium care bundle in more detail, linking pain, sedation/agitation, and delirium management in an integrated and interdisciplinary fashion; 2) pain, agitation, and delirium implementation strategies; and 3) the potential synergistic benefits of linking pain, agitation, and delirium management strategies to other evidence-based ICU practices, including spontaneous breathing trials, ICU early mobility programs, and ICU sleep hygiene programs, in order to improve ICU patient outcomes and to reduce costs of care.
Linking the ICU pain, agitation, and delirium management strategies with spontaneous awakening trials, spontaneous breathing trials, and early mobility and sleep hygiene programs is associated with significant improvements in ICU patient outcomes and reductions in their costs of care.
The 2013 ICU pain, agitation, and delirium guidelines provide critical care providers with an evidence-based, integrated, and interdisciplinary approach to managing pain, agitation/sedation, and delirium. The ICU pain, agitation, and delirium care bundle provides a framework for facilitating implementation of the pain, agitation, and delirium guidelines. Widespread implementation of the ICU pain, agitation, and delirium care bundle is likely to result in large-scale improvements in ICU patient outcomes and significant reductions in costs.
2013 年，美国危重病医学会发布了修订版的疼痛、躁动和谵妄指南。该指南包括一个 ICU 疼痛、躁动和谵妄护理包，旨在促进疼痛、躁动和谵妄指南的实施。
综述文章。
多专科重症监护病房。
成人 ICU 患者。
本文详细描述了：1）ICU 疼痛、躁动和谵妄护理包，以整合和跨学科的方式将疼痛、镇静/躁动和谵妄管理联系起来；2）疼痛、躁动和谵妄实施策略；3）将疼痛、躁动和谵妄管理策略与其他基于证据的 ICU 实践（包括自主呼吸试验、ICU 早期活动计划和 ICU 睡眠卫生计划）联系起来的潜在协同效益，以改善 ICU 患者的结局并降低护理成本。
将 ICU 疼痛、躁动和谵妄管理策略与自主唤醒试验、自主呼吸试验以及早期活动和睡眠卫生计划联系起来，与 ICU 患者结局的显著改善和护理成本的降低相关。
2013 年 ICU 疼痛、躁动和谵妄指南为重症监护提供者提供了一种基于证据的、整合的和跨学科的方法来管理疼痛、躁动/镇静和谵妄。ICU 疼痛、躁动和谵妄护理包为促进疼痛、躁动和谵妄指南的实施提供了一个框架。广泛实施 ICU 疼痛、躁动和谵妄护理包可能会导致 ICU 患者结局的大规模改善，并显著降低成本。
