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Successful Analgesia and Sedation for Patients with Acute Heart Failure Syndromes

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Acute Heart Failure

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Abstract

Patients presenting with an acute heart failure syndrome (AHFS) report the rapid onset of symptoms referable to their abnormal heart function.1 Their cardinal symptoms include dyspnea and fatigue, which are often accompanied by significant anxiety when the breathlessness is severe. Like the majority of critically ill patients, patients with acute heart failure commonly experience pain and discomfort, and relief of these symptoms is of paramount importance in their overall plan of care. This chapter provides an overview for the assessment of a patient’s need for analgesia and sedation, reviews the common medications and strategies used to successfully provide comfort and relieve pain, and discusses potential complications of sedative therapy.

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Authors and Affiliations

  1. Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL, USA

    Nuala J. Meyer MD

  2. Department of Medicine, University of Chicago, Chicago, IL, USA

    Jesse B. Hall MD, FCCP

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  1. Nuala J. Meyer MD
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  2. Jesse B. Hall MD, FCCP
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Editors and Affiliations

  1. Department of Anesthesiology and Critical Care Medicine, Lariboisière University Hospital, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, Paris, France

    Alexandre Mebazaa MD, PhD (Professor of Medicine) (Professor of Medicine)

  2. Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Mihai Gheorghiade MD, FACC (Professor of Medicine and Surgery, Associate Chief, Division of Cardiology and Chief, Cardiology Clinical Service) (Professor of Medicine and Surgery, Associate Chief, Division of Cardiology and Chief, Cardiology Clinical Service)

  3. Department of Cardiology Centre d’Investigation Clinique (CIC), INSERM U-684, Centre Hospitalier Universitaire, University Henri Poincaré, Nancy, France

    Faiez M. Zannad MD, PhD, FESC (Professor of Medicine) (Professor of Medicine)

  4. Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Camden, NJ, USA

    Joseph E. Parrillo MD (Professor of Medicine, Chief, Department of Medicine Edward D. Viner MD Chair, Department of Medicine and Director) (Professor of Medicine, Chief, Department of Medicine Edward D. Viner MD Chair, Department of Medicine and Director)

  5. Cooper Heart Institute, Cooper University Hospital, Camden, NJ, USA

    Joseph E. Parrillo MD (Professor of Medicine, Chief, Department of Medicine Edward D. Viner MD Chair, Department of Medicine and Director) (Professor of Medicine, Chief, Department of Medicine Edward D. Viner MD Chair, Department of Medicine and Director)

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Meyer, N.J., Hall, J.B. (2008). Successful Analgesia and Sedation for Patients with Acute Heart Failure Syndromes. In: Mebazaa, A., Gheorghiade, M., Zannad, F.M., Parrillo, J.E. (eds) Acute Heart Failure. Springer, London. https://doi.org/10.1007/978-1-84628-782-4_60

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  • DOI: https://doi.org/10.1007/978-1-84628-782-4_60

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