Resume
Le traitement de la douleur en réanimation est distincte de la sédation ou baisse de la vigilance. La sédation et l’analgésie ne doivent être ni insuffisantes — car elles ne permettent pas le contrôle de la douleur et de l’agitation —, ni excessives — car elles peuvent conduire à l’allongement de la durée de séjour et à un surcoût économique. L’efort actuel doit porter sur le maintien à un niveau le plus faible possible de la sédation pharmacologique (hypnotiques), sur l’évaluation et le traitement de la douleur adaptés aux soins douloureux, et sur l’utilisation de protocoles écrits pour la gestion quotidienne de la sédation et de l’analgésie en réanimation.
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Payen, JF., Chanques, G. (2010). Évaluation de la douleur en réanimation. In: Analgésie et sédation en réanimation. Le point sur .... Springer, Paris. https://doi.org/10.1007/978-2-287-99029-8_1
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