Management of psychomotor agitation in patients with COVID -19

Detalhes bibliográficos
Autor(a) principal: Baldaçara, Leonardo
Data de Publicação: 2021
Outros Autores: Silva, Antonio Geraldo da, Gorender, Miriam Elza, Fasanella, Nicoli Abrão, Kawakami, Daniel, Leite, Verônica da Silveira, Allevato, Marcelo, Baldaçara, Raquel Prudente de Carvalho, Milagres, Flavio Augusto de Pádua, Tung, Teng Chei
Tipo de documento: Artigo
Idioma: por
Título da fonte: Debates em Psiquiatria (Online)
Texto Completo: https://revistardp.org.br/revista/article/view/17
Resumo: Psychomotor agitation is a frequent situation that requires training and an individualized approach. However, little information is available to standardize Manejo da agitação psicomotora em pacientes com COVID -19 Management of psychomotor agitation in patients with COVID -19 the management of this situation in patients infected by COVID-19. The objective of this study is to propose a psychomotor agitation protocol for patients with COVID-19. A narrative review of the literature was conducted by the Brazilian Psychiatric Association (Rio de Janeiro, Brazil) and Universidade Federal do Tocantins (Tocantins, Brasil). The review was conducted on PubMed by a group of experts (eight psychiatrists, one allergist-immunologist, and one infection disease specialist). Of the 144 articles retrieved, 62 manuscripts were selected. The protocols currently available present the necessary information for the management of agitated patients (management of the setting and team), including communication, rapid tranquilization, and physical restraint. However, in cases with suspected infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), additional measures should be adopted to prevent contamination. Moreover, the pharmacological approach needs to be tailored to each case, taking side effects and drug interactions into consideration. It is possible to conclude that infection by SARS-CoV-2 in patients presenting with psychomotor agitation due to mental illness require specific care and adjustments to treatment protocols.
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spelling Management of psychomotor agitation in patients with COVID -19Manejo da agitação psicomotora em pacientes com Covid-19Emergências psiquiátricasagitação psicomotoradoença coronavírusPsychiatric emergenciespsychomotor agitationcoronavirus diseasePsychomotor agitation is a frequent situation that requires training and an individualized approach. However, little information is available to standardize Manejo da agitação psicomotora em pacientes com COVID -19 Management of psychomotor agitation in patients with COVID -19 the management of this situation in patients infected by COVID-19. The objective of this study is to propose a psychomotor agitation protocol for patients with COVID-19. A narrative review of the literature was conducted by the Brazilian Psychiatric Association (Rio de Janeiro, Brazil) and Universidade Federal do Tocantins (Tocantins, Brasil). The review was conducted on PubMed by a group of experts (eight psychiatrists, one allergist-immunologist, and one infection disease specialist). Of the 144 articles retrieved, 62 manuscripts were selected. The protocols currently available present the necessary information for the management of agitated patients (management of the setting and team), including communication, rapid tranquilization, and physical restraint. However, in cases with suspected infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), additional measures should be adopted to prevent contamination. Moreover, the pharmacological approach needs to be tailored to each case, taking side effects and drug interactions into consideration. It is possible to conclude that infection by SARS-CoV-2 in patients presenting with psychomotor agitation due to mental illness require specific care and adjustments to treatment protocols.A agitação psicomotora é uma situação frequente e requer treinamento e abordagem individualizada. No entanto, ainda há  pouca informação para padronizar a gestão dessa situação em pacientes com infecção pelo COVID-19. O objetivo deste artigo é apresentar uma proposta de gestão da agitação psicomotora em pacientes com COVID-19. Foi conduzida revisão narrativa realizada pela Associação Brasileira de Psiquiatria (Rio de Janeiro, Brasil) e Universidade Federal do Tocantins (Tocantins, Brasil). Uma revisão de artigos no PubMed foi realizada por um grupo de especialistas (oito psiquiatras, um alergista e imunologista e um infectologista). Dos 144 artigos encontrados, foram selecionados 62 manuscritos. Os protocolos atuais apresentam as informações necessárias para o atendimento de pacientes agitados (atendimento ao meio ambiente e funcionários), abordagem de comunicação, tranquilização rápida e contenção física. No entanto, nos casos de possibilidade de infecção por síndrome respiratória aguda grave coronavírus 2 (SARS-CoV-2), devem ser adicionadas medidas para prevenir a contaminação. Além disso, é necessário que a abordagem medicamentosa seja individualizada, considerando efeitos colaterais e interações. Concluise que a infecção pelo SARS-CoV-2 em pacientes com agitação por doença mental requer cuidados e ajustes específicos nos protocolos de tratamento.Associação Brasileira de Psiquiatria2021-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfhttps://revistardp.org.br/revista/article/view/1710.25118/2236-918X-11-1-5Debates in Psychiatry; Vol. 11 No. 1 (2021): Agitação Psicomotora - edição especial; 50-58Debates em Psiquiatria; Vol. 11 Núm. 1 (2021): Agitação Psicomotora - edição especial; 50-58Debates em Psiquiatria; v. 11 n. 1 (2021): Agitação Psicomotora - edição especial; 50-582763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/17/9https://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessBaldaçara, LeonardoSilva, Antonio Geraldo daGorender, Miriam ElzaFasanella, Nicoli AbrãoKawakami, DanielLeite, Verônica da SilveiraAllevato, MarceloBaldaçara, Raquel Prudente de CarvalhoMilagres, Flavio Augusto de PáduaTung, Teng Chei2021-10-27T23:51:24Zoai:ojs.emnuvens.com.br:article/17Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2021-10-27T23:51:24Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Management of psychomotor agitation in patients with COVID -19
Manejo da agitação psicomotora em pacientes com Covid-19
title Management of psychomotor agitation in patients with COVID -19
spellingShingle Management of psychomotor agitation in patients with COVID -19
Baldaçara, Leonardo
Emergências psiquiátricas
agitação psicomotora
doença coronavírus
Psychiatric emergencies
psychomotor agitation
coronavirus disease
title_short Management of psychomotor agitation in patients with COVID -19
title_full Management of psychomotor agitation in patients with COVID -19
title_fullStr Management of psychomotor agitation in patients with COVID -19
title_full_unstemmed Management of psychomotor agitation in patients with COVID -19
title_sort Management of psychomotor agitation in patients with COVID -19
author Baldaçara, Leonardo
author_facet Baldaçara, Leonardo
Silva, Antonio Geraldo da
Gorender, Miriam Elza
Fasanella, Nicoli Abrão
Kawakami, Daniel
Leite, Verônica da Silveira
Allevato, Marcelo
Baldaçara, Raquel Prudente de Carvalho
Milagres, Flavio Augusto de Pádua
Tung, Teng Chei
author_role author
author2 Silva, Antonio Geraldo da
Gorender, Miriam Elza
Fasanella, Nicoli Abrão
Kawakami, Daniel
Leite, Verônica da Silveira
Allevato, Marcelo
Baldaçara, Raquel Prudente de Carvalho
Milagres, Flavio Augusto de Pádua
Tung, Teng Chei
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Baldaçara, Leonardo
Silva, Antonio Geraldo da
Gorender, Miriam Elza
Fasanella, Nicoli Abrão
Kawakami, Daniel
Leite, Verônica da Silveira
Allevato, Marcelo
Baldaçara, Raquel Prudente de Carvalho
Milagres, Flavio Augusto de Pádua
Tung, Teng Chei
dc.subject.por.fl_str_mv Emergências psiquiátricas
agitação psicomotora
doença coronavírus
Psychiatric emergencies
psychomotor agitation
coronavirus disease
topic Emergências psiquiátricas
agitação psicomotora
doença coronavírus
Psychiatric emergencies
psychomotor agitation
coronavirus disease
description Psychomotor agitation is a frequent situation that requires training and an individualized approach. However, little information is available to standardize Manejo da agitação psicomotora em pacientes com COVID -19 Management of psychomotor agitation in patients with COVID -19 the management of this situation in patients infected by COVID-19. The objective of this study is to propose a psychomotor agitation protocol for patients with COVID-19. A narrative review of the literature was conducted by the Brazilian Psychiatric Association (Rio de Janeiro, Brazil) and Universidade Federal do Tocantins (Tocantins, Brasil). The review was conducted on PubMed by a group of experts (eight psychiatrists, one allergist-immunologist, and one infection disease specialist). Of the 144 articles retrieved, 62 manuscripts were selected. The protocols currently available present the necessary information for the management of agitated patients (management of the setting and team), including communication, rapid tranquilization, and physical restraint. However, in cases with suspected infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), additional measures should be adopted to prevent contamination. Moreover, the pharmacological approach needs to be tailored to each case, taking side effects and drug interactions into consideration. It is possible to conclude that infection by SARS-CoV-2 in patients presenting with psychomotor agitation due to mental illness require specific care and adjustments to treatment protocols.
publishDate 2021
dc.date.none.fl_str_mv 2021-03-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-Reviewed
Revisado por Pares
Avaliado Pelos Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistardp.org.br/revista/article/view/17
10.25118/2236-918X-11-1-5
url https://revistardp.org.br/revista/article/view/17
identifier_str_mv 10.25118/2236-918X-11-1-5
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistardp.org.br/revista/article/view/17/9
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Debates in Psychiatry; Vol. 11 No. 1 (2021): Agitação Psicomotora - edição especial; 50-58
Debates em Psiquiatria; Vol. 11 Núm. 1 (2021): Agitação Psicomotora - edição especial; 50-58
Debates em Psiquiatria; v. 11 n. 1 (2021): Agitação Psicomotora - edição especial; 50-58
2763-9037
2236-918X
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reponame_str Debates em Psiquiatria (Online)
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repository.name.fl_str_mv Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)
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