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Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult

Jacobi, Judith PharmD, FCCM, BCPS; Fraser, Gilles L. PharmD, FCCM; Coursin, Douglas B. MD; Riker, Richard R. MD; Fontaine, Dorrie RN, DNSc, FAAN; Wittbrodt, Eric T. PharmD; Chalfin, Donald B. MD, MS, FCCM; Masica, Michael F. MD, MPH; Bjerke, H. Scott MD; Coplin, William M. MD; Crippen, David W. MD, FCCM; Fuchs, Barry D. MD; Kelleher, Ruth M. RN; Marik, Paul E. MDBCh, FCCM; Nasraway, Stanley A. Jr MD, FCCM; Murray, Michael J. MD, PhD, FCCM; Peruzzi, William T. MD, FCCM; Lumb, Philip D. MB, BS, FCCM.

Clinical Investigations

Developed through the Task Force of the American College of Critical Care Medicine (ACCM) of the Society of Critical Care Medicine (SCCM), in collaboration with the American Society of Health-System Pharmacists (ASHP), and in alliance with the American College of Chest Physicians; and approved by the Board of Regents of ACCM and the Council of SCCM and the ASHP Board of Directors

Address correspondence to Society of Critical Care Medicine, 701 Lee Street, Suite 200, Des Plaines, IL 60016. Available at www.sccm.org

The American College of Critical Care Medicine (ACCM), which honors individuals for their achievements and contributions to multidisciplinary critical care medicine, is the consultative body of the Society of Critical Care Medicine (SCCM) that possesses recognized expertise in the practice of critical care. The College has developed administrative guidelines and clinical practice parameters for the critical care practitioner. New guidelines and practice parameters are continually developed, and current ones are systematically reviewed and revised.

Special thanks to E. Wesley Ely, MD, for his contribution to the section on delirium.

Key Words: analgesia; sedation; evidence-based medicine; fentanyl; hydromorphone; morphine; lorazepam; midazolam; propofol; haloperidol; guidelines

Copyright © 2002 by the Society of Critical Care Medicine and the American Society of Health-System Pharmacists, Inc.

© 2002 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins