Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015) – short version

GMS German Medical Science

Fründ, Andreas¹  Schroeder, Stefan²  Waydhas, Christian³  Schaefer, Michael⁴  Fietze, Ingo⁵  Orth, Maritta⁵  Schmitt, Reinhard⁶  Schwarzmann, Gerhard⁶  Gohrbandt, Bernhard⁷  Eichler, Ingolf⁷  Wappler, Frank⁸  Kleinschmidt, Stefan⁸  Meiser, Andreas⁸  Weiss, Bjoern⁸  Buerkle, Hartmut⁸  Tryba, Michael⁸  Trieschmann, Uwe⁸  Spies, Claudia⁸  Scholz, Jens⁸  Eggers, Verena⁸  Kessler, Paul⁸  Horter, Johannes⁸  Mueller, Anika⁸  Tonner, Peter⁸  Putensen, Christian⁸  Heppner, Hans-Jürgen⁹  Eckardt, Rahel⁹  Dall, Peter^1,10  Kochanek, Matthias^1,11  Schellongowski, Peter^1,11  Braune, Stephan^1,12  Janssens, Uwe^1,13  Schaefers, Rainhild^1,14  Kaeuper, Kristin Maria^1,14  Schindler, Monika^1,15  Kumpf, Matthias^1,15  Garten, Lars^1,15  Weisshaar, Guido^1,15  Huth, Ralf^1,15  Roth, Bernd^1,15  Harth, Irene^1,15  Demirakca, Sueha^1,15  Binder, Andreas^1,16  Stingele, Robert^1,16  Biniek, Rolf^1,16  Baron, Ralf^1,16  Jungk, Christine^1,17  Freys, Stephan^1,18  Hartl, Wolfgang^1,18 

[1] German Association for Physiotherapy (ZVK);German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN);German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI);German Pain Society (DGSS);German Sleep Society (DGSM);German Society for Specialised Nursing and Allied Health Professions (DGF);German Society for Thoracic and Cardiovascular Surgery (DGTHG);German Society of Anaesthesiology and Intensive Care Medicine (DGAI);German Society of Geriatrics (DGG);German Society of Gynecology & Obstetrics (DGGG);German Society of Haematology and Oncology (DGHO);German Society of Internal Medicine Intensive Care (DGIIN) ;German Society of Internal Medicine Intensive Care (DGIIN);German Society of Midwifery Science (DGHWi);German Society of Neonatology and Pediatric Intensive Care (GNPI);German Society of Neurology (DGN);German Society of Neurosurgery (DGNC);German Society of Surgery (DGCH);

关键词: guideline;    evidence;    analgesia;    sedation;    delirium;    anxiety;    stress;    sleep;    monitoring;    treatment;    intensive care;    critical care;    Germany;   

DOI  :  10.3205/000223

来源: DOAJ

【 摘 要 】

In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine) and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine), twelve German medical societies published the “Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care”. Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from the American College of Critical Care Medicine (ACCM) in conjunction with Society of Critical Care Medicine (SCCM) and American Society of Health-System Pharmacists (ASHP) from 2013. For this update, a major restructuring and extension of the guidelines were needed in order to cover new aspects of treatment, such as sleep and anxiety management. The literature was systematically searched and evaluated using the criteria of the Oxford Center of Evidence Based Medicine. The body of evidence used to formulate these recommendations was reviewed and approved by representatives of 17 national societies. Three grades of recommendation were used as follows: Grade “A” (strong recommendation), Grade “B” (recommendation) and Grade “0” (open recommendation). The result is a comprehensive, interdisciplinary, evidence and consensus-based set of level 3 guidelines. This publication was designed for all ICU professionals, and takes into account all critically ill patient populations. It represents a guide to symptom-oriented prevention, diagnosis, and treatment of delirium, anxiety, stress, and protocol-based analgesia, sedation, and sleep-management in intensive care medicine.

【 授权许可】

Unknown