Critical Care Sedation
This book provides a practical and comprehensive guide to delivering analgesia and sedation to critically ill patients for professionals and caregivers being involved in the management of these patients. It discusses and explains in detail the a
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Critical Care Sedation
Angelo Raffaele De Gaudio Stefano Romagnoli Editors
Critical Care Sedation
Editors Angelo Raffaele De Gaudio Department of Anesthesia and Critical Care Azienda Ospedaliero-Universitaria Careggi Firenze Italy
Stefano Romagnoli Department of Anesthesia and Critical Care Azienda Ospedaliero-Universitaria Careggi Firenze Italy
ISBN 978-3-319-59311-1 ISBN 978-3-319-59312-8 (eBook) https://doi.org/10.1007/978-3-319-59312-8 Library of Congress Control Number: 2017963645 © Springer International Publishing AG 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
In the last 20 years, victims of critical illness have become increasingly elderly and frequently subject to multiple organ dysfunction. Critical illness is currently defined by certain syndromes, such as sepsis or acute renal failure, or by physiological alterations, such as shock states or hypoxemia. It is hence often necessary to integrate the more traditional subspecialties of medicine into critical care practice. For these reasons, critical care demands continuous advances in technology, therapeutics, and monitoring to improve the prognosis of disease states that influence organ physiology, especially in elderly patients. Attention to sedation and analgesia in intensive care units (ICUs) has evolved during the last years, and significant evidence of its influence on patient outcomes has emerged. In light of this, those privileged to take care of patients in the ICU have witnessed a dramatic evolution from former practices of deep sedation lasting for several days to a gentler approach that treats “light sedation” for cooperative patients as
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