Individualised analgesia, sedation, delirium and comfort management strategies in the ICU: a narrative review

Abstract

This group is a product of the collaboration agreement signed by SOMIAMA (Sociedad de Medicina Intensiva de Madrid) and SAR MADRID (Sociedad de Anestesiología, Reanimación y Terapéutica del Dolor de Madrid) under which the organisations agreed to create joint working groups to improve critical patient care. Pain, discomfort, agitation, and delirium cause suffering, delay discharge, and can lead to serious complications in patients admitted to medical and surgical critical care units and post-anaesthesia care units. The main objectives in this type of unit include: Ensuring the comfort of patients suffering or recovering from a critical illness.Avoiding complications associated with the measures, particularly pharmacological, taken to ensure that comfort.

Keywords: Analgesia; Comfort; Confort; Critical patients; Delirio; Delirium; Dolor; Individualisation; Individualización; Intensive care units; Pacientes críticos; Pain; Recomendaciones; Recommendations; Sedación; Sedation; Unidades de cuidados intensivos.