The management of sedation, analgesia and delirium is fundamental when it comes to treating critical patients. The improper handling of such aspects can lead to myopathy in critical patients, as well as physical, psychological and cognitive alterations.
Overall, there is a general trend towards minimising the use of sedation and ensuring correct pain management. However, as each clinical case and the characteristics of each patient are different, individualised treatment strategies are required. As a result, the aim of this course is to update and further the participants’ knowledge of sedation, analgesia and delirium management, and how to prevent myopathy in each clinical situation.
Bedside monitoring is vitally important in achieving the established objectives, and the involvement of nurses trained in the use of pain, agitation and delirium scales, as well as the monitoring and evaluation of the muscular system by trained physiotherapists, ensures these targets are met.
On the other hand, delirium has become a topic of interest due to its harmful short- and long-term effects. This course will therefore take the opportunity to update the participants’ knowledge regarding its prevalence, monitoring and pharmacological and non-pharmacological management.
The numerous studies and guidelines on sedation, analgesia and delirium management indicate a real disparity between recommended and actual practice, which suggests that clinical trials and clinical practice guidelines have a quite a low impact. It is therefore important to provide training to those professionals responsible for looking after critical patients and ensure they have the theoretical and practical knowledge required to provide such patients an excellent level of care.
- To train professionals in the concept and assessment of analgesia-based sedation, delirium and myopathy in critical patients.
- To provide skills and strategies for monitoring and treating sedation analgesia, delirium and myopathy in critical patients.
- To define the concepts of sedation analgesia, delirium and myopathy in critical patients.
- To describe the physiopathological mechanisms involved in these processes.
- To become familiar with the characteristics of intensive care units, the type of patients usually admitted and their care requirements.
- To learn how to clinically evaluate sedation analgesia, delirium and myopathy, stressing the importance of an objective, replicable approach. To apply the relevant monitoring scales and tools.
- To describe strategies for the early detection and prevention of oversedation, delirium and myopathy.
- To learn how to manage and treat oversedation, delirium and myopathy.
- To identify factors that could have an impact on patient mobilisation (organisation, environment, type of patient, etc.) and choose the most appropriate technique for each case. To promote the use of mechanical aids and available intensive care techniques that make it possible to mobilise patients early and safely.
- To educate staff on the importance of working as part of a multidisciplinary team, ensuring safe working habits and correct postural hygiene.
- To learn about the different options for mobilising patients early and safely.
- To demonstrate and apply the theoretical and practical knowledge necessary for resolving clinical cases related to the management of sedation analgesia, delirium and myopathy, with a view to improving the safety of critical patients, reducing associated comorbidities and providing better care.