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Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit
TLDR
These guidelines provide a roadmap for developing integrated, evidence-based, and patient-centered protocols for preventing and treating pain, agitation, and delirium in critically ill patients.
The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients.
TLDR
RASS has high reliability and validity in medical and surgical, ventilated and nonventilated, and sedated and nonsedated adult ICU patients and is described as logical, easy to administer, and readily recalled.
Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS).
TLDR
This is the first sedation scale to be validated for its ability to detect changes in sedation status over consecutive days of ICU care, against constructs of level of consciousness and delirium, and correlated with the administered dose of sedative and analgesic medications.
Handwashing compliance by health care workers: The impact of introducing an accessible, alcohol-based hand antiseptic.
TLDR
Education/feedback intervention and patient awareness programs failed to improve handwashing compliance, however, introduction of easily accessible dispensers with an alcohol-based waterless handwashing antiseptic led to significantly higher handwashing rates among health care workers.
Validation of a cognitive test for delirium in medical ICU patients.
TLDR
Early identification of delirium with the Cognitive Test for Delirium may lead to timely treatment of specific etiologic conditions and a reduction in mortality and morbidity.
Chlorhexidine, toothbrushing, and preventing ventilator-associated pneumonia in critically ill adults.
TLDR
Chlorhexidine, but not toothbrushing, reduced early ventilator-associated pneumonia in patients without pneumonia at baseline, and chlorhexidine significantly reduced the incidence of pneumonia on day 3 among patients who had CPIS <6 at baseline.
Evaluating and monitoring analgesia and sedation in the intensive care unit
Management of analgesia and sedation in the intensive care unit requires evaluation and monitoring of key parameters in order to detect and quantify pain and agitation, and to quantify sedation. The
An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Healthcare Professionals: A Call for Action*
TLDR
The present article reviews the diagnostic criteria, prevalence, causative factors, and consequences of burnout syndrome, and discusses potential interventions that may be used to prevent and treat BOS.
Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the Intensive Care Unit: executive summary.
TLDR
These guidelines provide a roadmap for developing integrated, evidence-based, and patient-centered protocols for preventing and treating pain, agitation, and delirium in critically ill patients.
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