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Evidence and consensus-based German guidelines for the management of analgesia, sedation and delirium in intensive care – short version

Overview of attention for article published in GMS German Medical Science, February 2010
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Title
Evidence and consensus-based German guidelines for the management of analgesia, sedation and delirium in intensive care – short version
Published in
GMS German Medical Science, February 2010
DOI 10.3205/000091
Pubmed ID
Authors

Jörg Martin, Anja Heymann, Katrin Bäsell, Ralf Baron, Rolf Biniek, Hartmut Bürkle, Peter Dall, Christine Dictus, Verena Eggers, Ingolf Eichler, Lothar Engelmann, Lars Garten, Wolfgang Hartl, Ulrike Haase, Ralf Huth, Paul Kessler, Stefan Kleinschmidt, Wolfgang Koppert, Franz-Josef Kretz, Heinz Laubenthal, Guenter Marggraf, Andreas Meiser, Edmund Neugebauer, Ulrike Neuhaus, Christian Putensen, Michael Quintel, Alexander Reske, Bernard Roth, Jens Scholz, Stefan Schröder, Dierk Schreiter, Jürgen Schüttler, Gerhard Schwarzmann, Robert Stingele, Peter Tonner, Philip Tränkle, Rolf Detlef Treede, Tomislav Trupkovic, Michael Tryba, Frank Wappler, Christian Waydhas, Claudia Spies

Abstract

Targeted monitoring of analgesia, sedation and delirium, as well as their appropriate management in critically ill patients is a standard of care in intensive care medicine. With the undisputed advantages of goal-oriented therapy established, there was a need to develop our own guidelines on analgesia and sedation in intensive care in Germany and these were published as 2(nd) Generation Guidelines in 2005. Through the dissemination of these guidelines in 2006, use of monitoring was shown to have improved from 8 to 51% and the use of protocol-based approaches increased to 46% (from 21%). Between 2006-2009, the existing guidelines from the DGAI (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin) and DIVI (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin) were developed into 3(rd) Generation Guidelines for the securing and optimization of quality of analgesia, sedation and delirium management in the intensive care unit (ICU). In collaboration with another 10 professional societies, the literature has been reviewed using the criteria of the Oxford Center of Evidence Based Medicine. Using data from 671 reference works, text, diagrams and recommendations were drawn up. In the recommendations, Grade "A" (very strong recommendation), Grade "B" (strong recommendation) and Grade "0" (open recommendation) were agreed. As a result of this process we now have an interdisciplinary and consensus-based set of 3(rd) Generation Guidelines that take into account all critically illness patient populations. The use of protocols for analgesia, sedation and treatment of delirium are repeatedly demonstrated. These guidelines offer treatment recommendations for the ICU team. The implementation of scores and protocols into routine ICU practice is necessary for their success.

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Mendeley readers

The data shown below were compiled from readership statistics for 160 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Germany 1 <1%
Italy 1 <1%
Brazil 1 <1%
Czechia 1 <1%
United Kingdom 1 <1%
Denmark 1 <1%
United States 1 <1%
Unknown 153 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 32 20%
Other 24 15%
Student > Master 15 9%
Student > Doctoral Student 15 9%
Student > Ph. D. Student 13 8%
Other 49 31%
Unknown 12 8%
Readers by discipline Count As %
Medicine and Dentistry 118 74%
Nursing and Health Professions 11 7%
Neuroscience 5 3%
Social Sciences 3 2%
Agricultural and Biological Sciences 3 2%
Other 8 5%
Unknown 12 8%