Trojikj, Tatjana (2018) Evaluation of analgesia, sedaton and agitation in intensive care unit. Macedonian Journal of Anaesthesia, 4. pp. 40-47. ISSN 2545-4366
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Abstract
Most of the patients in the intensive care unit need sedation and analgesia in order to avoid
pain, anxiety and to be able to have invasive procedures, mechanical ventilation and to reduce
stress and oxygen consumption. Untreated patient increases stress response to invasive procedures such as intubation and central venous catheterization. The pain is the most common
memory from intensive care unit and that can lead to agitation accidental extubation and removal
of intravascular devices. Very often, patients in the intensive care are over sedated and that can
prolong time of mechanical ventilation. Maintenance of light sedation, sufficient analgesia,
early recognition and treatment of delirium, are imperatives in patients in the intensive care
units. The Behavior Pain Scale (BPS), Richmond Agitation –Sedation Scale (RASS), Sedation
Agitation Scale (SAS), Ramsey Sedation Scale are valid and reliable sedation assessment tools
for measuring quality and depth of sedation in adults in ICU patients. Confusion Assessment
Method (CAM) for the ICU as tool for early recognition of delirium is necessity for early and
adequate treatment of delirium. Treatments according to these assessments of pain, sedation,
agitation and delirium should be usual practice in intensive care unit. Protocols from literature
and other hospitals may be initiative for preventing, prolonged sedation, ventilation and length
of stay in intensive care unit.
Key words: agitation, critically ill patient, sedation.
| Item Type: | Article |
|---|---|
| Subjects: | Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Tatjana Trojik |
| Date Deposited: | 03 Apr 2023 09:44 |
| Last Modified: | 03 Apr 2023 09:44 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/31581 |
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