The effects of analgesia – sedation and delirium protocol on critically ill patients

Not Applicable

Conditions: Condition 1: agitation. Condition 2: delirium. Condition 3: pain.
Restlessness and agitation
Other delirium
Pain, unspecified
-R52.9

Registration Number: IRCT201011025083N1

Lead Sponsor: Vice-Chancellor for Research, Shiraz University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 200

Inclusion Criteria

Inclusion criteria : informed written consent; Age more than 18 years old

Exclusion criteria :length of stay in ICU less than 48 hours; patients who expected to expire in less than 48 hours; use of paralyzing agents, psychiatric problems ; inability to move hands( cast, paralyzed hands, cord injery) , addiction

Exclusion Criteria

Not provided

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
ICU length of stay. Timepoint: total duration of stay in ICU. Method of measurement: check list.

Secondary Outcome Measures

Name	Time	Method
Duration of mechanical ventilation. Timepoint: every one hour. Method of measurement: check list.;Delirium. Timepoint: every shift( morning - evening - night. Method of measurement: CAM ICU check list.;Total amount of medication used to treat pain. Timepoint: every one hour. Method of measurement: check list.;Total amount of medication used to treat agitaton. Timepoint: every one hour. Method of measurement: check list.;Total amount of medication used to treat delirium. Timepoint: every one hour. Method of measurement: check list.;Agitation. Timepoint: every one hour. Method of measurement: Richmind Agitation Sedation Scale (RASS).;Ventilator- free days at day 28. Timepoint: every one hour. Method of measurement: check list.;Mortality rate. Timepoint: at the end of study. Method of measurement: check list.;Self extubation. Timepoint: every one hour. Method of measurement: check list.;Pain. Timepoint: every one hour. Method of measurement: Numeric Pain Scale(NPS)- Behavioral Pain Scale (BPS).