Sedation, Analgesia and Delirium MANagement: an international audit of adult medical, surgical, trauma, and neuro-intensive care patients

Sedationmanagement (medicine and procedures used to keep patient asleep and calm) incritically ill patients has a significant impact on their short-term andlong-term patients condition and disease status. Despite strong evidence andprescriptive international guidelines, there appears to be a huge difference inpractices followed by doctors worldwide. However, there are no large-scalemultinational data describing these practices in the intensive care unit (ICU).

Sandmanstudy is international audit we will collect data in academic and non-academicICUs from all over the world. In this study only data from the patients chartwill be collected. Data regarding sedation (medicine and practices use toinduce sleep in patients), analgesia (pain killers and methods use to reducepain) and delirium (acute state of confusion), their rate of occurrence,various treatment modalities and guidelines followed in treatment will becollected to check whether clinicians stay adhere to guidelines or not.

TataMemorial centre will be one of the participating centre. We will only collectthe data related to patient’s demographics like ICU admission and dischargedate, reason of admission, age sex, disease condition, treatment receivedduring ICU stay a) like sedation medicine used, reason to use, dose and type ofmedicines used, b) medication used to treat agitation or restlessness and totreat psychological conditions. c) rate of occurrence of acute mental confusionamong patient admitted in ICU, d) use of pain killer practices and medicationused in ICU.

It is importantto understand current practices around the world. The data generated from thisstudy will inform research, educational and quality improvement initiatives fora diverse patient population and help in future patient management.