About this Medicine article

Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU by John W. Devlin; Yoanna Skrobik; Céline Gélinas; Dale M. Needham; Arjen J. C. Slooter; Pratik P. Pandharipande; Paula L. Watson; Gerald L. Weinhouse; Mark E. Nunnally; Bram Rochwerg; Michele C. Balas; Mark van den Boogaard; Karen J. Bosma; Nathaniel E. Brummel; Gerald Chanques; Linda Denehy; Xavier Drouot; Gilles L. Fraser; Jocelyn E. Harris; Aaron M. Joffe; Michelle E. Kho; John P. Kress; Julie A. Lanphere; Sharon McKinley; Karin J. Neufeld; Margaret A. Pisani; Jean-Francois Payen; Brenda T. Pun; Kathleen A. Puntillo; Richard R. Riker; Bryce R. H. Robinson; Yahya Shehabi; Paul M. Szumita; Chris Winkelman; John E. Centofanti; Carrie Price; Sina Nikayin; Cheryl J. Misak; Pamela D. Flood; Ken Kiedrowski; Waleed Alhazzani is a Medicine article available to read on EtoBox.

## Objective: To update and expand the 2013 Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the ICU. ## Design: Thirty-two international experts, four methodologists, and four critical illness survivors met virtually at least monthly. All section groups gathered face-to-face at annual Society of Critical Care Medicine congresses; virtual connections included those unable to attend. A formal conflict of interest policy was developed a priori and enforced throughout the process. Teleconferences and electronic discussions among subgroups and whole panel were part of the guidelines’ development. A general content review was completed face-to-face by all panel members in January 2017. ## Methods: Content experts, methodologists, and ICU survivors were represented in each of the five sections of the guidelines: Pain, Agitation/sedation, Delirium, Immobility (mobilization/rehabilitation), and Sleep (disruption). Each section created Population, Intervention, Comparison, and Outcome, and nonactionable, descriptive questions based on perceived clinical relevance. The guideline group then voted their ranking, and patients prioritized thei

Author

John W. Devlin; Yoanna Skrobik; Céline Gélinas; Dale M. Needham; Arjen J. C. Slooter; Pratik P. Pandharipande; Paula L. Watson; Gerald L. Weinhouse; Mark E. Nunnally; Bram Rochwerg; Michele C. Balas; Mark van den Boogaard; Karen J. Bosma; Nathaniel E. Brummel; Gerald Chanques; Linda Denehy; Xavier Drouot; Gilles L. Fraser; Jocelyn E. Harris; Aaron M. Joffe; Michelle E. Kho; John P. Kress; Julie A. Lanphere; Sharon McKinley; Karin J. Neufeld; Margaret A. Pisani; Jean-Francois Payen; Brenda T. Pun; Kathleen A. Puntillo; Richard R. Riker; Bryce R. H. Robinson; Yahya Shehabi; Paul M. Szumita; Chris Winkelman; John E. Centofanti; Carrie Price; Sina Nikayin; Cheryl J. Misak; Pamela D. Flood; Ken Kiedrowski; Waleed Alhazzani

Publisher

Lippincott Williams and Wilkins; Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins; Lippincott Williams & Wilkins Ltd.; Ovid Technologies (Wolters Kluwer Health) (ISSN 0090-3493)

Published

2018

Language

EN

Field

Medicine (Health Sciences)