CHEST 2023 On Demand Pass-Pain, Agitation and Delirium in the ICU: Prevention and Management

Video Transcription

Video Summary

The session on pain, agitation, and delirium in the ICU prevention and management focused on the challenges of managing pain and agitation in the ICU, as well as the negative effects of delirium on patient outcomes. The session discussed various strategies for assessing and managing pain in ICU patients, emphasizing the importance of using validated pain assessment tools and considering individual patient factors. It also highlighted the high prevalence of pain and the need for effective pain management in the ICU. The session also addressed the challenges of assessing and managing delirium in ICU patients. It discussed the low sensitivity of clinical judgment in detecting delirium and the need to use validated delirium assessment tools. The session also emphasized the negative impact of delirium on patient outcomes, including increased duration of mechanical ventilation and higher mortality rates. The different aspects of the ABCDEF bundle were presented as a comprehensive approach to prevent and manage delirium in the ICU. The session discussed the role of pain management, sedation strategies, mobility, and family presence in preventing and treating delirium. It also highlighted the importance of using non-pharmacological interventions and minimizing the use of benzodiazepines in sedation regimens. The session concluded with a discussion on the use of antipsychotics in delirium management, highlighting the lack of strong evidence supporting their effectiveness and the potential risks associated with their use. Overall, the session emphasized the need for a multidisciplinary approach and individualized care when managing pain, agitation, and delirium in the ICU to optimize patient outcomes.

Meta Tag

Category Critical Care

Session ID 1045

Speaker Timothy Girard

Speaker Margaret Pisani

Speaker Heather Torbic

Track Critical Care

Keywords

pain management

agitation management

delirium prevention

ICU

validated pain assessment tools

individual patient factors

delirium assessment tools

ABCDEF bundle

non-pharmacological interventions

multidisciplinary approach