[How painful is long-term ventilation? Considerations on the importance of analgesia within the scope of analgosedation].
The goal of analgesia and sedation in intensive care units is most often achieved using numerous drug combinations, mostly justified by physicians' and nurses' habits instead of rational pharmacological criteria for the choice of drugs and dosages. The present paper aims at defining the analgesic situation of ventilated intensive care patients and concludes from analogy with other, better understood states of pain that the importance of analgesic drugs is frequently overrated. To achieve effective analgesia and sedation in individual patients, the dosage must be titrated to individual needs. The author suggests that standardized baseline analgesia should be used, which enables sedation to be titrated, whereas the opposite is not practicable in clinical routine.
Institut für Anästhesiologie und Operative Intensivmedizin, Universität Köln.
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Lehmann
D000698:Analgesia / Q000379:methods*; D016058:Analgesia, Patient-Controlled / Q000379:methods; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects; D016292:Procedural Sedation / Q000379:methods*; D003422:Critical Care; D006801:Humans; D010147:Pain Measurement; D012121:Respiration, Artificial
D000701:Analgesics, Opioid
Wie schmerzhaft ist die Langzeitbeatmung? Gedanken zur Bedeutung der Analgesie im Rahmen der Analgosedierung.