ICU镇痛躁动谵妄指南解读20131.pptVIP

;ICU镇痛镇静的临床意义;;2013,PAD guidelines;2013,PAD guidelines;What do the 2013,PAD Guidelines Say?;疼痛与镇痛Pain and Analgesia;ICU疼痛的发病率Incidence of Pain in ICU Patients; ICU疼痛评估Pain Assessment in ICU Patients;患者对疼痛的自我描述被认为是“金标准”，临床医生应该尝试首先让患者自己评价他们自己的疼痛。（B） A patient’s self-report of pain is considered the “gold standard,” and clinicians should always attempt to have a patient rate his or her own pain first（B). ;指南反对单纯根据生命体征（或包括生命体征在内的观察性疼痛量表）评估成年ICU患者的疼痛(-2C)。但指南同时建议生命体征可以作为患者需要接受进一步评估疼痛的线索(+2C)。 We do not suggest that vital signs (or observational pain scales that include vital sign