10.3205/000091
Martin, Jörg
Jörg
Martin
Heymann, Anja
Anja
Heymann
Bäsell, Katrin
Katrin
Bäsell
Baron, Ralf
Ralf
Baron
Biniek, Rolf
Rolf
Biniek
Bürkle, Hartmut
Hartmut
Bürkle
Dall, Peter
Peter
Dall
Dictus, Christine
Christine
Dictus
Eggers, Verena
Verena
Eggers
Eichler, Ingolf
Ingolf
Eichler
Engelmann, Lothar
Lothar
Engelmann
Garten, Lars
Lars
Garten
Hartl, Wolfgang
Wolfgang
Hartl
Haase, Ulrike
Ulrike
Haase
Huth, Ralf
Ralf
Huth
Kessler, Paul
Paul
Kessler
Kleinschmidt, Stefan
Stefan
Kleinschmidt
Koppert, Wolfgang
Wolfgang
Koppert
Kretz, Franz-Josef
Franz-Josef
Kretz
Laubenthal, Heinz
Heinz
Laubenthal
Marggraf, Guenter
Guenter
Marggraf
Meiser, Andreas
Andreas
Meiser
Neugebauer, Edmund
Edmund
Neugebauer
Neuhaus, Ulrike
Ulrike
Neuhaus
Putensen, Christian
Christian
Putensen
Quintel, Michael
Michael
Quintel
Reske, Alexander
Alexander
Reske
Roth, Bernard
Bernard
Roth
Scholz, Jens
Jens
Scholz
Schröder, Stefan
Stefan
Schröder
Schreiter, Dierk
Dierk
Schreiter
Schüttler, Jürgen
Jürgen
Schüttler
Schwarzmann, Gerhard
Gerhard
Schwarzmann
Stingele, Robert
Robert
Stingele
Tonner, Peter
Peter
Tonner
Tränkle, Philip
Philip
Tränkle
Treede, Rolf Detlef
Rolf Detlef
Treede
Trupkovic, Tomislav
Tomislav
Trupkovic
Tryba, Michael
Michael
Tryba
Wappler, Frank
Frank
Wappler
Waydhas, Christian
Christian
Waydhas
Spies, Claudia
Claudia
Spies
Evidence and consensus-based German guidelines for the management of analgesia, sedation and delirium in intensive care – short version
German Medical Science GMS Publishing House
2010
JournalArticle
guideline
evidence
analgesia
sedation
delirium
monitoring
treatment
intensive care
610 Medical sciences; Medicine
2010-02-02
2010
en
urn:nbn:de:0183-0000916
000091
text/html
GMS German Medical Science; 8:Doc02; ISSN 1612-3174
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 2nd 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 3rd 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 3rd 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.
GMS German Medical Science; 8:Doc02; ISSN 1612-3174