Improving the care of ICU patients: a primer on analgesia, sedation and delirium
Being in the Intensive Care Unit (ICU) can be really challenging for patients and their families. Patients experience pain, agitation, delirium, fear, anxiety and many other frightening feelings. They also sometimes require sedation, which can also lead to further complications. There is a wealth of evidence to improve the management of analgesia, sedation and delirium in the ICU, however it is very challenging to apply on everyday practice. Therefore, my project aims to bridge the gap between evidence and practice by way of a tailored educational intervention aimed for physicians in training in the ICU.
Background
In critically ill patients, effective management of sedation, analgesia, and delirium (SAD) is essential to optimize outcomes, reduce ICU length of stay, prevent long-term cognitive and psychological sequelae, and enhance the experience of both patients and families. Despite the availability of guidelines and validated tools, variability in practice and knowledge gaps among ICU providers remain common.
Aim:
To improve understanding and clinical application of best practices related to sedation, analgesia, and delirium among ICU clinicians through a structured knowledge translation initiative.
Project Components:
- Needs Assessment: Identify knowledge/practice gaps through literature review and local ICU feedback.
- Content Development: Curate evidence-based educational material (e.g., guidelines, algorithms, bedside tools).
- Engagement & Networking: Leverage clinical networks and stakeholder feedback to promote uptake.
- Dissemination: Share key messages via interactive workshops, digital formats, or brief summaries suitable for bedside use.
- Evaluation: Assess impact via pre-post knowledge tests or feedback surveys (to be determined based on scope and feasibility).
Innovation/Value:
This project bridges evidence and practice, using a pragmatic, clinician-centered approach to support consistent and informed SAD management—contributing to safer, more humane ICU care.
Project team
Federico Carini
TRP supervisors
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