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. 2017 Jun 30;30(2):135-142.

Analgesia, sedation and arousal status in burn patients: the gap between recommendations and current practices

A Lavrentieva  1 , N Depetris  2 , I Rodini  2
Affiliations

Analgesia, sedation and arousal status in burn patients: the gap between recommendations and current practices

A Lavrentieva et al. Ann Burns Fire Disasters. .

Abstract
in English, French

Assessment and treatment of pain, agitation and delirium are integral parts of the management of critically ill patients. The purpose of this review is to describe how pain, delirium and agitation are managed in general intensive care units and in burn units, and to address whether management of these issues is compatible with internationally accepted recommendations. A substantial gap exists between the conception of the guidelines, clinical practice and physicians' statements regarding pain, sedation and delirium management. Specific training programs might be required to increase the implementation rate of guidelines and best practices on sedation, pain and delirium assessment and management in burn units.

L’évaluation et le traitement de la douleur, de l’agitation et du délire font partie intégrante de la prise en charge des patients de réanimation. Cette revue a pour but de décrire la prise en charge de ces paramètres en réanimation générale et en centre de brûlés et de discuter si cette prise en charge correspond aux recommandations internationales. Il existe des différences notables entre ces recommandations, la pratique courante et le point de vue des médecins concernant la prise en charge de la douleur, de l’agitation et de la confusion. Des programmes de formation spécifiques pourraient être utiles pour améliorer la concordance entre la vraie vie et les recommandations dans ces situations.

Keywords: analgesia; burns; delirium; sedation.

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Figures

Table I
Table I. Management of pain, agitation and delirium in adult patients in the Intensive Care Unit: recommendations*
See this image and copyright information in PMC

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