Research on attitudes of senior anesthesia assistants and intensive care physicians towards compliance with the “pain, agitation/sedation, immobility, and sleep disruption” guidelines and symptom management in the intensive care units in Türkiye

Introduction: It was aimed to investigate the attitudes of senior anesthesia assistants and intensive care physicians in Türkiye towards compliance with the “Pain, Agitation/Sedation, Immobility and Sleep Disruption” (PADIS) Guidelines and symptom management in the intensive care unit (ICU). Methods: The survey, consisting of 40 questions was sent to the participants electronically. The answers to the questions were evaluated according to the recommendations in the PADIS 2018 guidelines. Results: While anesthesiology and reanimation specialists gave less compatible answers (58.9%) with the guideline in “identifying risk factors affecting pain”; responses were more consistent with the guideline (100%, 69.5%, and 85.3%, respectively) in “use of medication in addition to opioids”, “use of medication to prevent delirium”, and “pharmacological interventions to improve sleep” Discussion and Conclusion: This study demonstrates that intensive care physicians, including anesthesiology and reanimation assistants in Türkiye, generally exhibit a compatible attitude with the PADIS 2018 guideline in the management of “pain, agitation/sedation, delirium, immobility and sleep disruption” symptoms in critically ill adults in the ICU. Additionally, as the medicine career progresses, more guideline-compliant responses in the management of some symptoms have demonstrated the importance of clinical experience in critically ill adults management.