Analgesia, seda tion and neuromuscular blockade in the ICU

Abstract

Pain is a major symptom which is often found in critically iii patients. Adequate management of this condition is implicated not only with humanization process in the ICU but may also to improve outcome and reduce hospital costs. Importance of measuring daily pain scores by the ICU team, as well as the available techniques of providing a good pain relief are pointed out. Exposition to a noxious environment which includes pain, noise, tracheal suctioning, sensory overload or sleep deprivation may require the use of drugs to promote sedation in order to control anger and mental stress. Furthermore, some clinical conditions, such as mechanical ventilation, may require sedation for its success. Some clinical aspects of neuromuscular blocking agents and their uses in the ICU are also reviewed.