Executive Summary of a Focused Update to the Clinical Practice Guidelines for the Prevention and Management of Pain, Anxiety, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU.

COI Statement

Drs. Balas and Girard received funding from Ceribell. Dr. Balas received funding from the National Heart, Lung, and Blood Institute (NHLBI), the National Institute of Nursing Research, and the National Institute of Child Health and Human Development. Drs. McNett and Girard received funding from the National Institutes of Health (NIH). Dr. McNett received funding from Dexcom and the Patient-Centered Outcomes Research Institute. Dr. Girard received funding from Liberate Medical, Lungpacer, and the Department of Defense. Dr. Kho received funding from Restorative Therapies, the Canada Research Chair in Critical Care Rehabilitation and Knowledge Translation, the Canadian Institutes of Health Research (CIHR), and the Canada Foundation for Innovation. Dr. Weinhouse received funding from UpToDate. Dr. Chlan received funding from the NHLBI (1R01 HL 130881-01), the National Institutes on Aging, and the National Eye Institute (NIH R01AG067631). Dr. Gélinas received funding from the Society of Critical Care Medicine and the SAMDOC Medical Technologies; their institution received funding from the CIHR. Dr. Krupp disclosed she was an invited speaker for Fall 2022 American Association of Nurse Practitioners. Dr. Young received funding from the Southeastern Pennsylvania Chapter of American Association of Critical-Care Nurses. The remaining authors have disclosed that they do not have any potential conflicts of interest.

References:

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• Saltnes-Lillegård C, Rustøen T, Beitland S, et al.: Self-reported symptoms experienced by intensive care unit patients: A prospective observational multicenter study. Intensive Care Med 2023; 49:1370–1382
• Devlin JW, Skrobik Y, Gélinas C, et al.: Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med 2018; 46:e825–e873
• Barr J, Fraser G, Puntillo K, et al.: Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med 2013; 41:263–306