Research on attitudes of senior anesthesia assistants and intensive care physicians towards compliance with the "pain, agitation/sedation, immobility, and sleep disruption" guidelines and symptom management in the intensive care units in Turkiye

Dogan M. S., Gomez M. S., KOYUNCU O., HAKİMOĞLU S., URFALI S., Hakkoymaz S.

TURKISH JOURNAL OF INTENSIVE CARE-TURK YOGUN BAKIM DERGISI, cilt.23, sa.3, ss.200-213, 2025 (ESCI, TRDizin)

Özet

Introduction: It was aimed to investigate the attitudes of senior anesthesia assistants and intensive care physicians in T & uuml;rkiye towards compliance with the "Pain, Agitation/Sedation, Immobility and Sleep Disruption" (PADIS) Guidelines and symptom management in the intensive care unit (ICU). Methods: The survey, consisting of 40 questions was sent to the participants electronically. The answers to the questions were evaluated according to the recommendations in the PADIS 2018 guidelines. Results: While anesthesiology and reanimation specialists gave less compatible answers (58.9%) with the guideline in "identifying risk factors affecting pain"; responses were more consistent with the guideline (100%, 69.5%, and 85.3%, respectively) in "use of medication in addition to opioids", "use of medication to prevent delirium", and "pharmacological interventions to improve sleep" Discussion and Conclusion: This study demonstrates that intensive care physicians, including anesthesiology and reanimation assistants in T & uuml;rkiye, generally exhibit a compatible attitude with the PADIS 2018 guideline in the management of "pain, agitation/sedation, delirium, immobility and sleep disruption" symptoms in critically ill adults in the ICU. Additionally, as the medicine career progresses, more guideline-compliant responses in the management of some symptoms have demonstrated the importance of clinical experience in critically ill adults management.