Table_1_Exploration of teaching practice of analgesia and sedation in mainland China: CASER experience.DOCX

ObjectiveAnalgesia and sedation assessments vary widely in clinical performance. This study investigated the cognition of intensivist and the importance of training for analgesia and sedation through the Chinese Analgesia and Sedation Education & Research (CASER) group training program.
MethodsA total of 107 participants studied the training courses on the “Sedation, Analgesia and Consciousness Assessment of Critically Ill Patients” held by CASER from June 2020 to June 2021. Ninety-eight valid questionnaires were recovered. The content of the questionnaire included the preface, general information of the trainees, students’ awareness of the importance of analgesia and sedation evaluation and related guidelines, and professional test questions.
ResultsAll respondents were senior professionals engaged in the ICU. A total of 92.86% believed that analgesia and sedation treatment were very important parts of the ICU, and 76.5% believed that they had mastered relevant professional knowledge. However, when evaluating the relevant professional theory and practice of the respondents from an objective point of view, it can be seen that only 28.57% of the respondents could reach the passing line in the specific case analysis scenario. Before participating in the training, 42.86% of the medical staff believed that analgesia and sedation treatment should be evaluated in the daily work of the ICU; after participating in the training, 62.24% of the medical staff believed that the evaluation was necessary and believed that they had improved after the training. Moreover, 69.4% of the respondents affirmed the necessity and significance of jointly undertaking the task of analgesia and sedation in Chinese ICUs.
ConclusionThis study revealed that the assessment of analgesia and sedation is not standardized in the ICU in mainland China. The importance and significance of standardized training for analgesia and sedation are presented. The CASER working group thus established has a long way to go in its future work.

研究背景与目的：临床中镇痛与镇静评估的实施差异显著。本研究通过中国镇痛镇静教育与研究（Chinese Analgesia and Sedation Education & Research, CASER）团队的培训项目，探讨重症医师对镇痛镇静工作的认知水平，以及规范化培训的重要性。

研究方法：2020年6月至2021年6月期间，共有107名学员参与CASER主办的“重症患者镇静、镇痛与意识评估”培训课程。本次研究共回收有效问卷98份，问卷内容涵盖问卷说明、受训学员基本信息、学员对镇痛镇静评估重要性及相关指南的认知情况，以及专业测试题目。

研究结果：所有受访者均为重症监护病房（Intensive Care Unit, ICU）在职高级专业人员。其中92.86%的受访者认为镇痛与镇静治疗是ICU临床工作的核心组成部分，76.5%的受访者自认已掌握相关专业知识。但从客观视角评估受访者的相关专业理论与实践能力可见，仅28.57%的受访者在具体病例分析场景中达到合格分数线。培训前，仅42.86%的医护人员认为ICU日常工作中需开展镇痛镇静评估；培训后，62.24%的医护人员认为该评估具有必要性，且自认培训后专业能力有所提升。此外，69.4%的受访者认可国内ICU协同开展镇痛镇静相关工作的必要性与重要意义。

研究结论：本研究表明，中国内地ICU的镇痛镇静评估工作尚未实现标准化。本研究凸显了镇痛镇静规范化培训的重要性与实践价值。本次组建的CASER工作团队在未来的工作中仍任重道远。