| Author | Salluh, Jorge I. F. | |
| Author | Dal-Pizzol, Felipe | |
| Author | Mello, Patricia V. C. | |
| Author | Friedman, Gilberto | |
| Author | Silva, Eliézer | |
| Author | Teles, José Mário M. | |
| Author | Lobo, Suzana M. A. | |
| Author | Bozza, Fernando A. | |
| Author | Soares, Márcio | |
| Author | Brazilian Research in Intensive Care Network | |
| Access date | 2019-12-30T13:51:48Z | |
| Available date | 2019-12-30T13:51:48Z | |
| Document date | 2009 | |
| Citation | SALLUH, Jorge I. F. et al. Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 Brazilian critical care physicians. Journal of Critical Care, v. 24, p. 556-562, 2009. | pt_BR |
| ISSN | 0883-9441 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/38907 | |
| Language | eng | pt_BR |
| Publisher | Elsevier | pt_BR |
| Rights | open access | pt_BR |
| Title | Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians | pt_BR |
| Type | Article | pt_BR |
| DOI | 10.1016/j.jcrc.2009.04.004 | |
| Abstract | Purpose: The aim of the study was to characterize the practices of Brazilian ICU physicians toward sedation and delirium. Materials and Methods: A cross-sectional survey was conducted among a convenience sample of critical care physicians between April and June 2008. Results: One thousand fifteen critical care physicians responded. Sedation scoring systems were used by893 (88.3%) of the respondents. The Ramsay and Richmond Agitation-Sedation Scale were used by81.9% and 6.8% of the respondents, respectively. Most respondents did not discuss sedation targets(62.8%) or practice daily sedative interruption (68.3%) in most patients. More than half of the respondents(52.7%) used a sedation protocol, and the most used sedatives were midazolam (97.8%), fentanyl (91.5%),and propofol (55%). A significant rate of the respondents (42.7%) estimated that more than 25% of patients under mechanical ventilation have delirium, but 53.5% occasionally assessed patients fordelirium. Thirteen percent used specific delirium scales, with the Confusion Assessment Method for intensive care unit (ICU) being the most applied. Delirium was often treated with haloperidol (88.1%); however, atypical antipsychotics (36.3%) and benzodiazepines (42.3%) were also used. Conclusions: Despite the recent advances in knowledge of sedation and delirium, most of them are still not translated into clinical practice. Significant variation in practice is observed among ICU physicians andrepresents a potential target for future research and educational interventions. | pt_BR |
| Affilliation | Instituto Nacional de Câncer. Hospital de Câncer-I. Medical-Surgical Intensive Care Unit. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Universidade do Extremo Sul Catarinense. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brazi | pt_BR |
| Affilliation | Universidade Estadual do Piauí. Intensive Care Unit. Teresina, PI, Brasil. | pt_BR |
| Affilliation | Universidade Federal de Ciências da Saúde de Porto Alegre. Curso de Medicina. Departamento de Medicina Interna. Porto Alegre, RS, Brasil. | pt_BR |
| Affilliation | Universidade de São Paulo. São Paulo, SP, Brasil. | pt_BR |
| Affilliation | Hospital Português. Intensive Care Unit. Salvador, BA, Brazil. | pt_BR |
| Affilliation | Medical School and Hospital de Base. Department of Internal Medicine. Division of Critical Care Medicine. São José do Rio Preto, SP, Brazil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Unidade de Terapia Intensiva. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Instituto Nacional de Câncer. Hospital de Câncer-I. Medical-Surgical Intensive Care Unit. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Subject | Delirium | pt_BR |
| Subject | Sedation | pt_BR |
| Subject | Mechanical ventilation | pt_BR |
| Subject | Critically ill patients | pt_BR |
| Subject | Acute brain dysfunction | pt_BR |
| Embargo date | 2020-12-30 | |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
