Correlation between Fentanyl and Midazolam Doses with Pain and Delirium at Haji Adam Malik Medan Central General Hospital

Introduction: Pain is generally known as the fifth vital sign. It can trigger a stress response and stimulate adrenergic-sympathetic activity, causing tachycardia and hypertension and increasing oxygen consumption. Delirium is an acute disturbance of consciousness in the form of inattention, disorganized thoughts, and perceptual disturbances that change in a short time. Undiagnosed pain and delirium can lead to increased infection rates, prolonged mechanical ventilation, hemodynamic compromise, delirium, and compromised immunity. Objective: To determine the relationship between pain and delirium in intubated patients in the ICU of Haji Adam Malik Hospital using CPOT to assess pain and CAM ICU to assess delirium. Methods: This study used a cross-sectional observational analytic design with a quantitative approach. This study was conducted to determine the relationship between pain and delirium using the CPOT and CAM ICU scales in patients who were intubated at Haji Adam Malik General Hospital Medan during January 2023-February 2023. Results: The relationship between pain and delirium had a p-value of 0.001, a significant relationship because p-value was 0.05%. Conclusion: There is a significant relationship between pain and delirium (p = 0.001).