Su Longxiang, Li Shu, Lou Ran, Liu Ying, Zhang Hua, Jiang Li
Department of Critical Care Medicine, Peking Union Medical College, Chinese Academy of Medical Sciences, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Beijing, China.
Department of Critical Care Medicine, Peking University People's Hospital, Beijing, China.
Front Med (Lausanne). 2023 Feb 8;10:1010964. doi: 10.3389/fmed.2023.1010964. eCollection 2023.
Analgesia and sedation assessments vary widely in clinical performance. This study investigated the cognition of intensivist and the importance of training for analgesia and sedation through the Chinese Analgesia and Sedation Education & Research (CASER) group training program.
A total of 107 participants studied the training courses on the "Sedation, Analgesia and Consciousness Assessment of Critically Ill Patients" held by CASER from June 2020 to June 2021. Ninety-eight valid questionnaires were recovered. The content of the questionnaire included the preface, general information of the trainees, students' awareness of the importance of analgesia and sedation evaluation and related guidelines, and professional test questions.
All respondents were senior professionals engaged in the ICU. A total of 92.86% believed that analgesia and sedation treatment were very important parts of the ICU, and 76.5% believed that they had mastered relevant professional knowledge. However, when evaluating the relevant professional theory and practice of the respondents from an objective point of view, it can be seen that only 28.57% of the respondents could reach the passing line in the specific case analysis scenario. Before participating in the training, 42.86% of the medical staff believed that analgesia and sedation treatment should be evaluated in the daily work of the ICU; after participating in the training, 62.24% of the medical staff believed that the evaluation was necessary and believed that they had improved after the training. Moreover, 69.4% of the respondents affirmed the necessity and significance of jointly undertaking the task of analgesia and sedation in Chinese ICUs.
This study revealed that the assessment of analgesia and sedation is not standardized in the ICU in mainland China. The importance and significance of standardized training for analgesia and sedation are presented. The CASER working group thus established has a long way to go in its future work.
镇痛和镇静评估在临床实践中的差异很大。本研究通过中国镇痛与镇静教育与研究（CASER）小组培训项目，调查重症监护医生的认知情况以及镇痛和镇静培训的重要性。
共有107名参与者学习了CASER在2020年6月至2021年6月举办的“重症患者的镇静、镇痛和意识评估”培训课程。回收有效问卷98份。问卷内容包括前言、学员基本信息、学员对镇痛和镇静评估重要性及相关指南的认识，以及专业测试题。
所有受访者均为从事重症监护室工作的资深专业人员。共有92.86%的人认为镇痛和镇静治疗是重症监护室非常重要的组成部分，76.5%的人认为他们掌握了相关专业知识。然而，从客观角度评估受访者的相关专业理论和实践时，可以发现只有28.57%的受访者在具体病例分析场景中能够达到及格线。在参加培训前，42.86%的医务人员认为在重症监护室的日常工作中应该进行镇痛和镇静治疗评估；参加培训后，62.24%的医务人员认为有必要进行评估，并认为培训后有所提高。此外，69.4%的受访者肯定了在中国重症监护室联合承担镇痛和镇静任务的必要性和意义。
本研究表明，中国大陆重症监护室的镇痛和镇静评估并不规范。提出了镇痛和镇静标准化培训的重要性和意义。因此成立的CASER工作组在未来的工作中还有很长的路要走。
