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Clinical Practice Guidelines for the Management of Pain ...

Special Article Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult patients in the Intensive Care Unit Juliana Barr, MD, FCCM1; Gilles L. Fraser, PharmD, FCCM2; Kathleen Puntillo, RN, PhD, FAAN, FCCM3;. E. Wesley Ely, MD, MPH, FACP, FCCM4; C line G linas, RN, PhD5; Joseph F. Dasta, MSc, FCCM, FCCP6;. Judy E. Davidson, DNP, RN7; John W. Devlin, PharmD, FCCM, FCCP8; John P. Kress, MD9;. Aaron M. Joffe, DO10; Douglas B. Coursin, MD11; Daniel L. Herr, MD, MS, FCCM12;. Avery Tung, MD13; Bryce R.

thoracic epidural analgesia in patients undergoing either intrathoracic or nonvascular abdominal sur-gical procedures, due to insufficient and conflicting evidence for this mode of analgesic delivery in these patients (0,B). x. We suggest that thoracic epidural analgesia be con-sidered for patients with traumatic rib fractures (+2B). xi.

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