Evidence map›Paper›PMID 26609286›Full record

GuidelineGerman medical science : GMS e-journal2015

Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015) - short version.

DAS-Taskforce 2015, Ralf Baron, Andreas Binder, Rolf Biniek, Stephan Braune, Hartmut Buerkle, Peter Dall, Sueha Demirakca, Rahel Eckardt, Verena Eggers and 40 more

2 registry-linked trialsOpen access · greenAbstract readPractice GuidelineReview
In one paragraph

Guideline in German medical science : GMS e-journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 153 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 7 pooled it
21.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04524091 recruitingnot on this mapstarted 2020, after this paper: background citation

Prediction of Inspiratory Effort Response to High PEEP in Patients Recovering From ARDS

TypeobservationalSponsorSanatorio Anchorena San MartinRan2020 to 2026Enrolled30ConditionsAcute Respiratory Distress SyndromeArmsPositive end expiratory pressure
NCT04758936 phase4unknown statusnot on this mapstarted 2021, after this paper: background citation

Effect of Clonidine vs. Dexmedetomidine in Addition to Standard Treatment in Agitated Delirium in Intensive Care Patients: Pilot Study.

TypeinterventionalSponsorErasme University HospitalRan2021 to 2023Enrolled50ConditionsDelirium, Critical IllnessArmsClonidine, Dexmedetomidine
3 · Its place in the literature

Who cites it

153 citing papers in PubMed, 7 syntheses or guidelines pooled it, 320 citations in OpenAlex.

  1. Pooled it
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  6. [S3 Guideline Sepsis-prevention, diagnosis, therapy, and aftercare : Long version].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020
    Guideline
  7. Guideline
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  9. Ketamine sedation in the intensive care unit: a survey of Canadian intensivists.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
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  13. Article
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93 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

50 authors at 9 institutions in 2 countries.

DAS-Taskforce 2015
Ralf BaronGerman Society of Neurology (DGN).
Andreas BinderGerman Society of Neurology (DGN).
Rolf BiniekGerman Society of Neurology (DGN).
Stephan BrauneGerman Society of Internal Medicine Intensive Care (DGIIN).
Hartmut BuerkleGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Peter DallGerman Society of Gynecology & Obstetrics (DGGG).
Sueha DemirakcaGerman Society of Neonatology and Pediatric Intensive Care (GNPI).
Rahel EckardtGerman Society of Geriatrics (DGG).
Verena EggersGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Ingolf EichlerGerman Society for Thoracic and Cardiovascular Surgery (DGTHG).
Ingo FietzeGerman Sleep Society (DGSM).
Stephan FreysGerman Society of Surgery (DGCH).
Andreas FründGerman Association for Physiotherapy (ZVK).
Lars GartenGerman Society of Neonatology and Pediatric Intensive Care (GNPI).
Bernhard GohrbandtGerman Society for Thoracic and Cardiovascular Surgery (DGTHG).
Irene HarthGerman Society of Neonatology and Pediatric Intensive Care (GNPI).
Wolfgang HartlGerman Society of Surgery (DGCH).
Hans-Jürgen HeppnerGerman Society of Geriatrics (DGG).
Johannes HorterGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Ralf HuthGerman Society of Neonatology and Pediatric Intensive Care (GNPI).
Uwe JanssensGerman Society of Internal Medicine Intensive Care (DGIIN).
Christine JungkGerman Society of Neurosurgery (DGNC).
Kristin Maria KaeuperGerman Society of Midwifery Science (DGHWi).
Paul KesslerGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Stefan KleinschmidtGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Matthias KochanekGerman Society of Haematology and Oncology (DGHO).
Matthias KumpfGerman Society of Neonatology and Pediatric Intensive Care (GNPI).
Andreas MeiserGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Anika MuellerGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Maritta OrthGerman Sleep Society (DGSM).
Christian PutensenGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Bernd RothGerman Society of Neonatology and Pediatric Intensive Care (GNPI).
Michael SchaeferGerman Pain Society (DGSS).
Rainhild SchaefersGerman Society of Midwifery Science (DGHWi).
Peter SchellongowskiGerman Society of Haematology and Oncology (DGHO).
Monika SchindlerGerman Society of Neonatology and Pediatric Intensive Care (GNPI).
Reinhard SchmittGerman Society for Specialised Nursing and Allied Health Professions (DGF).
Jens ScholzGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Stefan SchroederGerman Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN).
Gerhard SchwarzmannGerman Society for Specialised Nursing and Allied Health Professions (DGF).
Claudia SpiesGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Robert StingeleGerman Society of Neurology (DGN).
Peter TonnerGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Uwe TrieschmannGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Michael TrybaGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Frank WapplerGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Christian WaydhasGerman Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI).
Bjoern WeissGerman Society of Anaesthesiology and Intensive Care Medicine (DGAI).
Guido WeisshaarGerman Society of Neonatology and Pediatric Intensive Care (GNPI).
German Society of Medical Intensive Care and Emergency Medicine · DEGerman Society of Surgery · DEGerman Society for Thoracic and Cardiovascular Surgery · DEDeutsche Gesellschaft für Hämatologie und Medizinische Onkologie · DEGerman Respiratory Society · DECanadian Physiotherapy Association · CADeutsche Gesellschaft für Psychoanalyse, Psychotherapie, Psychosomatik und Tiefenpsychologie · DEGerman Cardiac Society · DEGerman Insurance Association · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine) and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine), twelve German medical societies published the "Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care". Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from the American College of Critical Care Medicine (ACCM) in conjunction with Society of Critical Care Medicine (SCCM) and American Society of Health-System Pharmacists (ASHP) from 2013. For this update, a major restructuring and extension of the guidelines were needed in order to cover new aspects of treatment, such as sleep and anxiety management. The literature was systematically searched and evaluated using the criteria of the Oxford Center of Evidence Based Medicine. The body of evidence used to formulate these recommendations was reviewed and approved by representatives of 17 national societies. Three grades of recommendation were used as follows: Grade "A" (strong recommendation), Grade "B" (recommendation) and Grade "0" (open recommendation). The result is a comprehensive, interdisciplinary, evidence and consensus-based set of level 3 guidelines. This publication was designed for all ICU professionals, and takes into account all critically ill patient populations. It represents a guide to symptom-oriented prevention, diagnosis, and treatment of delirium, anxiety, stress, and protocol-based analgesia, sedation, and sleep-management in intensive care medicine.

Indexed as

AnalgesiaAnxietyConsensusCritical CareDeep SedationDeliriumEvidence-Based MedicineHumansHypnotics and SedativesProcedural SedationSleepStress, PsychologicalHypnotics and Sedativesanalgesiaanxietycritical caredeliriumevidenceGermanyguidelineintensive caremonitoringsedationsleepstresstreatment

Identifiers

PMID26609286
PMCPMC4645746
OpenAlexW2174616275

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.