Management of psychomotor agitation in patients with COVID -19
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , |
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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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 reponame:Debates em Psiquiatria (Online) instname:Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
instname_str |
Associação Brasileira de Psiquiatria (ABP) |
instacron_str |
ABP |
institution |
ABP |
reponame_str |
Debates em Psiquiatria (Online) |
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Debates em Psiquiatria (Online) |
repository.name.fl_str_mv |
Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP) |
repository.mail.fl_str_mv |
rdp@abp.org.br |
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