Abstract
The Sri Lankan Journal of Anaesthesiology is the official journal of the College of Anaesthesiologists of Sri Lanka. It publishes clinical investigations, research articles, audits, case reports, review articles and CME articles relating to anaesthesiology, critical care and pain. It is published bi annually in January and June. Sri Lankan Journal of Anaesthesiology is included on DOAJ and Scopus.
Highlights
In critical care patients receive painful interventions.[1]
Practical approach As mentioned above lack of clear evidence for the management of critical care patients in analgesia, sedation and delirium has been detrimental to critical care patient outcome
Sedation and analgesia in critical care has changed a lot over the years
Summary
In critical care patients receive painful interventions.[1]. Their mobility is reduced, and they are connected to various monitors and machines. Analgesia Pain when not treated will consume higher energy and cause immune modulation in the short term and post traumatic stress disorder in the long term.[4,5,6] Accurate assessment of pain will reduce analgesic intake.[7] Pain is a subjective feeling need to be described by the patient; in critical care it is difficult or impossible. Physiological parameters such as heart rate and blood pressures do not correlate well with actual pain perceptions. The challenge is when patients receive neuromuscular paralysis for the management of their condition
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