Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-guideline 2015) – short version

Baron R, Binder A, Biniek R, Braune S, Buerkle H, Dall P, Demirakca S, Eckardt R, Eggers V, Eichler I, Fietze I, Freys S, Fründ A, Garten L, Gohrbandt B, Harth I, Hartl W, Heppner HJ, Horter J, Huth R, Janssens U, Jungk C, Kaeuper KM, Kessler P, Kleinschmidt S, Kochanek M, Kumpf M, Meiser A, Mueller A, Orth M, Putensen C, Roth B, Schaefer M, Schaefers R, Schellongowski P, Schindler M, Schmitt R, Scholz J, Schroeder S, Schwarzmann G, Spies C, Stingele R, Tonner P, Trieschmann U, Tryba M, Wappler F, Waydhas C, Weiss B, Weisshaar G (2015)

Publication Type: Journal article

Publication year: 2015

Journal

Book Volume: 13

Pages Range: 2-42

DOI: 10.3205/000223

Abstract

In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine) and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine), twelve German medical societies published the “Evidence-and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care”. Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from the American College of Critical Care Medicine (ACCM) in conjunction with Society of Critical Care Medicine (SCCM) and American Society of Health-System Pharmacists (ASHP) from 2013. For this update, a major restructuring and extension of the guidelines were needed in order to cover new aspects of treatment, such as sleep and anxiety management. The literature was systematically searched and evaluated using the criteria of the Oxford Center of Evidence Based Medicine. The body of evidence used to formulate these recommendations was reviewed and approved by representatives of 17 national societies. Three grades of recommendation were used as follows: Grade “A” (strong recommendation), Grade “B” (recommendation) and Grade “0” (open recommendation). The result is a comprehensive, interdisciplinary, evidence and consensus-based set of level 3 guidelines. This publication was designed for all ICU professionals, and takes into account all critically ill patient populations. It represents a guide to symptom-oriented prevention, diagnosis, and treatment of delirium, anxiety, stress, and protocol-based analgesia, sedation, and sleep-management in intensive care medicine.

Authors with CRIS profile

Involved external institutions

Deutsche Gesellschaft für Fachkrankenpflege und Funktionsdienste e.V. (DGF) Germany (DE) Deutsche Gesellschaft für Anästhesiologie & Intensivmedizin (DGAI) Germany (DE) Deutsche Gesellschaft für Hämatologie und Medizinische Onkologie (DGHO) e.V. Germany (DE) Gesellschaft für Neonatologie und pädiatrische Intensivmedzin e.V. (GNPI) Germany (DE) Deutsche Gesellschaft für Chirurgie (DGCH) Germany (DE) Deutsche Gesellschaft für Neurologie e.V. (DGN) Germany (DE) Deutsche Gesellschaft für Neurochirurgie (DGNC) Germany (DE) Deutsche Gesellschaft für Geriatrie e.V. (DGG) Germany (DE) Deutsche Gesellschaft für Schlafforschung und Schlafmedizin (DGSM) Germany (DE) Deutscher Verband für Physiotherapie (ZVK) e. V. Germany (DE) Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie (DGTHG) Germany (DE) Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin (DGIIN) Germany (DE) Deutsche Gesellschaft für Hebammenwissenschaft (DGHWi) Germany (DE) Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin e. V. (DIVI) Germany (DE) Deutsche Gesellschaft für Gynäkologie und Geburtshilfe e.V. (DGGG) Germany (DE) Deutsche Schmerzgesellschaft / Deutsche Gesellschaft zum Studium des Schmerzes e. V. (DGSS) Germany (DE)

How to cite

APA:

Baron, R., Binder, A., Biniek, R., Braune, S., Buerkle, H., Dall, P.,... Weisshaar, G. (2015). Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-guideline 2015) – short version. GMS German Medical Science, 13, 2-42. https://dx.doi.org/10.3205/000223

MLA:

Baron, Ralf, et al. "Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-guideline 2015) – short version." GMS German Medical Science 13 (2015): 2-42.

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