title: [Analgesia and sedation in intensive care medicine].
abstract: Sedation and analgesia are relevant aspects for the adequate treatment of patients in an intensive care unit. Recent drug developments and new strategies for ventilation provide improved sedation management allowing better adaptation to the clinical background and individual needs of the patient. This article provides an overview on the application of different substance groups. Focus is placed on newly developed pharmaceuticals such as dexmedetomidine. Another aspect is scoring system-related and EEG-based monitoring of depth of sedation. Modern concepts of analgesia and sedation for ICU patients have been developed based on the interaction of different parameters such as adaptive sedation and analgesia management (ASAM).
authors.affiliation: Klinik für Anästhesiologie, Klinikum der Universität München. eva.schaffrath@med.uni-muenchen.de
authors.forename: E
authors.initials: E
authors.lastname: Schaffrath
authors.forename: R
authors.initials: R
authors.lastname: Kuhlen
authors.forename: P H
authors.initials: PH
authors.lastname: Tonner
mesh_terms: D000698:Analgesia; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D016292:Procedural Sedation; D003422:Critical Care; D016638:Critical Illness; D017408:Guidelines as Topic; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008991:Monitoring, Physiologic; D009294:Narcotics / Q000627:therapeutic use; D059408:Pain Management
chemical_list: D000700:Analgesics; D006993:Hypnotics and Sedatives; D009294:Narcotics