Ortlepp J R, Luethje F, Walz R
Klinik für Innere Medizin und Intensivmedizin, Asklepios Kliniken Schildautal, Karl-Herold-Str. 1, 38723, Seesen, Deutschland.
Internistische Intensivstation, Klinik für Innere Medizin und Intensivmedizin, Asklepios Kliniken Schildautal, Seesen, Deutschland.
Med Klin Intensivmed Notfmed. 2016 Feb;111(1):6-13. doi: 10.1007/s00063-015-0127-7. Epub 2016 Jan 27.
The administration of sedatives and analgesics on the intensive care unit (ICU) is routine daily practice. The correct discrimination between delirium, pain and anxiety or confusion is essential for the strategy and selection of medication. The correct pain therapy and sedation are essential for patient quality of life on the ICU and for the prognosis.
The aim of this article is to present state of the art recommendations on the classification of pain and pain therapy on the ICU.
An online search was carried out in PubMed for publications on the topics of "pain" and "ICU".
Critical care patients are frequently subjected to many procedures and situations which can cause pain. The perception of pain is, among other things, influenced by the degree of orientation, anxiety and the degree of sedation. The administration of analgesics and non-pharmacological approaches are effective in reducing the stress perceived by patients.
The main aim is improvement in the awareness of nursing and medical personnel for pain inducers and pain perception in ICU patients. The classification of pain must be made objectively. Therapeutic targets must be defined and in addition to the correct selection of pain medication, non-pharmacological approaches must also be consistently implemented.
在重症监护病房（ICU）使用镇静剂和镇痛药是日常常规操作。正确区分谵妄、疼痛、焦虑或意识模糊对于用药策略和药物选择至关重要。正确的疼痛治疗和镇静对于ICU患者的生活质量和预后至关重要。
本文旨在介绍关于ICU疼痛分类和疼痛治疗的最新建议。
在PubMed上进行在线搜索，查找有关“疼痛”和“ICU”主题的出版物。
重症监护患者经常会经历许多可能导致疼痛的操作和情况。疼痛的感知除其他因素外，还受定向程度、焦虑和镇静程度的影响。使用镇痛药和非药物方法可有效减轻患者感受到的压力。
主要目标是提高护理人员和医务人员对ICU患者疼痛诱发因素和疼痛感知的认识。必须客观地进行疼痛分类。必须确定治疗目标，除了正确选择止痛药物外，还必须始终如一地实施非药物方法。
