Sedation and analgesia in German intensive care units: How is it done in reality? Results of a patient-based survey of analgesia and sedation

Intensive Care Medicine

Volumn 32, Issue 8, 2006, Pages 1137-1142

  Martin, Jörg ^a   Franck, Martin ^b   Fischer, Matthias ^a   Spies, Claudia ^b  

^a Hospital Am Eichert   (Germany)

^b CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

Author keywords

Analgesia; Intensive care unit; Scores; Sedation; Survey

Indexed keywords

4 HYDROXYBUTYRIC ACID; ANALGESIC AGENT; CLONIDINE; DIAZEPAM; FENTANYL; FLUNITRAZEPAM; KETAMINE; METHOHEXITAL; MIDAZOLAM; MORPHINE; NEUROLEPTIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; PIRITRAMIDE; PROPOFOL; REMIFENTANIL; SUFENTANIL;

ADOLESCENT; ADULT; AGED; ANALGESIA; ANESTHESIOLOGICAL TECHNIQUES; ARTICLE; BREATHING; FEMALE; GERMANY; HUMAN; INTENSIVE CARE UNIT; MALE; PRACTICE GUIDELINE; QUESTIONNAIRE; RAMSAY SEDATION SCALE; RATING SCALE; SEDATION; WEANING;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANALGESIA; CHILD; CONSCIOUS SEDATION; FEMALE; GERMANY; HUMANS; INTENSIVE CARE; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; QUESTIONNAIRES;

EID: 33747185819     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-006-0214-6     Document Type: Article

References (40)

1. Koepke JP (1989) Effect of environmental stress on neural control of renal function. Miner Electrolyte MeTable 15:83-87
2. Bonica JJ (1987) Importance of effective pain control. Acta Anaesthesiol Scand Suppl 85:1-16
3. Lewis KS, Whipple JK, Michael KA, Quebbeman EJ (1994) Effect of analgesic treatment on the physiological consequences of acute pain. Am J Hosp Pharm 51:1539-1554
4. Tonner PH, Weiler N, Paris A, Scholz J (2003) Sedation and analgesia in the intensive care unit. Curr Opin Anaesthesiol 16:113-121
5. Schaffrath E, Kuhlen R, Tonner PH (2004) [Analgesia and sedation in intensive care medicine.]. Anaesthesist 53:1111-1130
6. Putensen C, Zech S, Wrigge H, Zinserling J, Stuber F, Von Spiegel T, Mutz N (2001) Long-term effects of spontaneous breathing during ventilatory support in patients with acute lung injury. Am J Respir Crit Care Med 164:43-49
7. Tung A, Rosenthal M (1995) Patients requiring sedation. Crit Care Clin 11:791-802
8. Martin J, Bäsell K, Bürkle H, Hommel J, Huth G, Kessler P, Kretz FJ, Putensen C, Quintel M, Tonner P et al. (2005) Analgesie und Sedierung in der Intensivmedizin-S2-Leitlinien der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin. Anasth Intensivmed 46:1-20
9. Merriman HM (1981) The techniques used to sedate ventilated patients. A survey of methods used in 34 ICUs in Great Britain. Intensive Care Med 7:217-224
10. Gast PH, Fischer A, Sear JW (1984) Intensive care sedation now. Lancet 8407:863-864
11. Miller-Jones CMH, Williams JH (1980) Sedation for ventilation. A retrospective study to ventilated patients. Anaesthesia 35:1104-1106
12. Burns AM, Shelly MP, Park GR (1992) The use of sedative agents in critically ill patients. Drugs 43:507-515
13. Kollef MH, Levy NT, Ahrens TS, Schaiff R, Prentice D, Sherman G (1998) The use of continuous i.v. sedation is associated with prolongation of mechanical ventilation. Chest 114:541-548
14. Durbin CG Jr (1994) Sedation in the critically ill patient. New Horiz 2:64-74
15. Martin J, Parsch A, Franck M, Wernecke KD, Fischer M, Spies C (2005) Practice of sedation and analgesia in German intensive care units: results of a national survey. Crit Care 9:R117-R123
16. Soliman H, Melot C, Vincent J (2001) Sedative and analgesic practice in the intensive care unit: the results of a European survey. Br J Anaesth 87:186-192
17. Jacobi J, Fraser GL, Coursin DB, Riker RR, Fontaine D, Wittbrodt ET, Chalfin DB, Masica MF, Bjerke HS, Coplin WM et al. (2002) Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 30:119-141
18. Ramsay MA, Savege TM, Simpson BR, Goodwin R (1974) Controlled sedation with alphaxalone-alphadolone. BMJ 2:656-659
19. Vincent JL, Moreno R, Takala J, Willatts S, De Mendonca A, Bruining H, Reinhart CK, Suter PM, Thijs LG (1996) The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med 22:707-710
20. Kress JP, Pohlman AS, O' Connor M, Hall JB (2000) Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 342:1471-1477
21. Doi M, Morita K, Mantzaridis H, Sato S, Kenny GN (2005) Prediction of responses to various stimuli during sedation: a comparison of three EEG variables. Intensive Care Med 31:41-47
22. Andrews P, Azoulay E, Antonelli M, Brochard L, Brun-Buisson C, Dobb G, Fagon JY, Gerlach H, Groeneveld J, Mancebo J et al. (2006) Year in review in intensive care medicine, 2005. II. Infection and sepsis, ventilator-associated pneumonia, ethics, haematology and haemostasis, ICU organisation and scoring, brain injury. Intensive Care Med 32:380-390
23. Walsh TS, Ramsay P, Kinnunen R (2004) Monitoring sedation in the intensive care unit: can "black boxes" help us? Intensive Care Med 30:1511-1513
24. Otter H, Martin J, Bäsell K, von Heymann C, Hein O, Böllert P, Jänsch P, Behnisch I, Wernecke K-D, Konertz W et al. (2005) Validity and reliability of the DDS for severity of delirium in the ICU. Neurocrit Care 2:150-158
25. Ely EW, Shintani A, Truman B, Speroff T, Gordon SM, Harrell FE Jr, Inouye SK, Bernard GR, Dittus RS (2004) Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 291:1753-1762
26. Blum RH, Raemer DB, Carroll JS, Sunder N, Felstein DM, Cooper JB (2004) Crisis resource management training for an anaesthesia faculty: a new approach to continuing education. Med Educ 38:45-55
27. Bion JF, Ledingham IM (1987) Sedation in intensive care-a postal survey. Intensive Care Med 13:215-216
28. MacLaren R, Plamondon JM, Ramsay KB, Rocker GM, Patrick WD, Hall RI (2000) A prospective evaluation of empiric versus protocol-based sedation and analgesia. Pharmacotherapy 20:662-672
29. Mascia MF, Koch M, Medicis JJ (2000) Pharmacoeconomic impact of rational use guidelines on the provision of analgesia, sedation, and neuromuscular blockade in critical care. Crit Care Med 28:2300-2306
30. Breitfeld C, Peters J, Vockel T, Lorenz C, Eikermann M (2003) Emetic effects of morphine and piritramide. Br J Anaesth 91:218-223
31. Murdoch S, Cohen A (2000) Intensive care sedation: a review of current British practice. Intensive Care Med 26:922-928
32. Brodner G, Van Aken H, Hertle L, Fobker M, Von Eckardstein A, Goeters C, Buerkle H, Harks A, Kehlet H (2001) Multimodal perioperative management-combining thoracic epidural analgesia, forced mobilization, and oral nutrition-reduces hormonal and metabolic stress and improves convalescence after major urologic surgery. Anesth Analg 92:1594-1600
33. Beattie WS, Badner NH, Choi P (2001) Epidural analgesia reduces postoperative myocardial infarction: a meta-analysis. Anesth Analg 93:853-858
34. Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A, Sage D, Futter M, Saville G, Clark T et al. (2000) Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ 321:1493
35. Walz M, Mollenhoff G, Muhr G (1999) Verkürzung der Weaningphase nach maschineller Beatmung durch kombinierte Gabe von Clonidin und Sufentanil. Chirurg 70:66-73
36. Bohrer H, Bach A, Layer M, Werning P (1990) Clonidine as a sedative adjunct in intensive care. Intensive Care Med 16:265-266
37. Ostermann ME, Keenan SP, Seiferling RA, Sibbald WJ (2000) Sedation in the intensive care unit: a systematic review. JAMA 283:1451-1459
38. Zielmann S, Grote R (1995) Auswirkungen der Langzeitsedierung auf die intestinale Funktion. Anaesthesist 44 Suppl 3:549-558
39. Rumbak MJ, Newton M, Truncale T, Schwartz SW, Adams JW, Hazard PB (2004) A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients. Crit Care Med 32:1689-1694
40. Hack G, Götz E, Sorgatz H, van Eimeren W, Wulff A (2000) Umfrage zur Situation der Anästhesiologie in Deutschland. Anasth Intensivmed 41:535-541