2012 SCCM 镇痛镇静指南.pptVIP

ICU Pain, Agitation Delirium Care Bundle Metrics: Measurement for Improvement Join us for a FREE Webinar Thursday, August 30, 2012 11:00 AM - 12:00 PM The soon-to-be published Pain, Agitation and Delirium (PAD) Guidelines from the American College of Critical Care Medicine (ACCM) outline, in great detail, recommendations for the assessment, treatment and prevention of pain, agitation and delirium in ICU patients. But how do you assess your hospitals performance in these areas? Please join us for a free webinar where Juliana Barr, MD, FCCM and Chair of ACCMs Task Force to revise these clinical practice guidelines, will discuss the metrics used to assess performance with ICU PAD Care Bundle. This will be an interactive program with the opportunity to submit/ask questions. Thanks for joining us today! Hi, my name is Kate, and I will be facilitating the discussion for today’s webinar… * It is my pleasure to introduce Connie…… * * * Legend: IPAD Care Bundle = ICU Pain, Agitation, and Delirium Care Bundle NRS = Numeric Rating Scale BPS = Behavioral Pain Scale CPOT = Critical-Care Pain Observation Tool Non-pharmacologic therapy = relaxation therapy, especially for chest tube removal IV = intravenous AAA = abdominal aortic aneurysm NMB = neuromuscular blockade RASS = Richmond Agitation and Sedation Scale SAS = Sedation Agitation Scale Brain Function Monitoring = auditory evoked potentials [AEP], Bispectral Index [BIS], Narcotrend Index [NI], Patient State Index [PSI], or state entropy [SE] DSI = daily sedation interruption (also referred to as SAT = spontaneous awakening trial) ETOH = ethanol Non-benzodiazepines = propofol (use in intubated/mechanically ventilated patients), dexmedetomidine (use in either intubated or non-intubated patients). SBT = spontaneous breathing trial EEG = electroencephalography ICP = intracranial pressure CAM-ICU = Confusion Assessment Method for the ICU ICDSC = ICU Delirium Screening Checklist * Legend: IPAD Care Bundle = ICU Pain, Agit