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Table 5 ABCDEFGH bundle

From: The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024

A: Assess, prevent, and manage pain

To understand pain and use tools for its assessment, treatment, and prevention

B: Both SAT and SBT

To use spontaneous awakening trial and spontaneous breathing trial in combination

C: Choice of analgesia and sedation

To understand the importance of depth of sedation and select appropriate drugs

D: Delirium: Assess, prevent, and manage

To understand risk factors for delirium and use tools for their assessment, treatment, and prevention

E: Early mobility and exercise

Early mobilization and rehabilitation in the ICU do not just change the body position of patients

F: Family engagement and empowerment, Follow-up referrals, Functional reconciliation

Patients' recovery can be facilitated by engaging family members in their care

To make follow-up referrals and functional reconciliation

G: Good handoff communication

To establish good handoff communication

H: Hand the patients and family written information about PICS or PICS-F

To provide patients and their families with written information regarding PICS and PICS-F

  1. Created from references. [561,562,563, 566]
  2. ICU intensive care unit, PICS post-intensive care syndrome, PICS-F post-intensive care syndrome family, SAT spontaneous awakening trial, SBT spontaneous breathing trial