Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians

Detalhes bibliográficos
Autor(a) principal: Salluh, Jorge I. F.
Data de Publicação: 2009
Outros Autores: Dal-Pizzol, Felipe, Mello, Patricia V. C., Friedman, Gilberto, Silva, Eliézer, Teles, José Mário M., Lobo, Suzana M. A., Bozza, Fernando A., Soares, Márcio, Brazilian Research in Intensive Care Network
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/38907
Resumo: 2020-12-30
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spelling Salluh, Jorge I. F.Dal-Pizzol, FelipeMello, Patricia V. C.Friedman, GilbertoSilva, EliézerTeles, José Mário M.Lobo, Suzana M. A.Bozza, Fernando A.Soares, MárcioBrazilian Research in Intensive Care Network2019-12-30T13:51:48Z2019-12-30T13:51:48Z2009SALLUH, 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, 2009.0883-9441https://www.arca.fiocruz.br/handle/icict/3890710.1016/j.jcrc.2009.04.004engElsevierDelirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physiciansinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-12-30Instituto Nacional de Câncer. Hospital de Câncer-I. Medical-Surgical Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Universidade do Extremo Sul Catarinense. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, BraziUniversidade Estadual do Piauí. Intensive Care Unit. Teresina, PI, Brasil.Universidade Federal de Ciências da Saúde de Porto Alegre. Curso de Medicina. Departamento de Medicina Interna. Porto Alegre, RS, Brasil.Universidade de São Paulo. São Paulo, SP, Brasil.Hospital Português. Intensive Care Unit. Salvador, BA, Brazil.Medical School and Hospital de Base. Department of Internal Medicine. Division of Critical Care Medicine. São José do Rio Preto, SP, Brazil.Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Unidade de Terapia Intensiva. Rio de Janeiro, RJ, Brasil.Instituto Nacional de Câncer. Hospital de Câncer-I. Medical-Surgical Intensive Care Unit. Rio de Janeiro, RJ, Brasil.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.DeliriumSedationMechanical ventilationCritically ill patientsAcute brain dysfunctioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/38907/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_Salluh_Jorge_etal_INI_2009.pdfve_Salluh_Jorge_etal_INI_2009.pdfapplication/pdf198405https://www.arca.fiocruz.br/bitstream/icict/38907/2/ve_Salluh_Jorge_etal_INI_2009.pdff9aa2020bb60f0de7189797260306234MD52TEXTve_Salluh_Jorge_etal_INI_2009.pdf.txtve_Salluh_Jorge_etal_INI_2009.pdf.txtExtracted texttext/plain31500https://www.arca.fiocruz.br/bitstream/icict/38907/3/ve_Salluh_Jorge_etal_INI_2009.pdf.txt2d390fd974d735b39a162ff1f0b2bbb4MD53icict/389072021-03-24 16:32:41.108oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352021-03-24T19:32:41Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians
title Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians
spellingShingle Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians
Salluh, Jorge I. F.
Delirium
Sedation
Mechanical ventilation
Critically ill patients
Acute brain dysfunction
title_short Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians
title_full Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians
title_fullStr Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians
title_full_unstemmed Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians
title_sort Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians
author Salluh, Jorge I. F.
author_facet Salluh, Jorge I. F.
Dal-Pizzol, Felipe
Mello, Patricia V. C.
Friedman, Gilberto
Silva, Eliézer
Teles, José Mário M.
Lobo, Suzana M. A.
Bozza, Fernando A.
Soares, Márcio
Brazilian Research in Intensive Care Network
author_role author
author2 Dal-Pizzol, Felipe
Mello, Patricia V. C.
Friedman, Gilberto
Silva, Eliézer
Teles, José Mário M.
Lobo, Suzana M. A.
Bozza, Fernando A.
Soares, Márcio
Brazilian Research in Intensive Care Network
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Salluh, Jorge I. F.
Dal-Pizzol, Felipe
Mello, Patricia V. C.
Friedman, Gilberto
Silva, Eliézer
Teles, José Mário M.
Lobo, Suzana M. A.
Bozza, Fernando A.
Soares, Márcio
Brazilian Research in Intensive Care Network
dc.subject.en.pt_BR.fl_str_mv Delirium
Sedation
Mechanical ventilation
Critically ill patients
Acute brain dysfunction
topic Delirium
Sedation
Mechanical ventilation
Critically ill patients
Acute brain dysfunction
description 2020-12-30
publishDate 2009
dc.date.issued.fl_str_mv 2009
dc.date.accessioned.fl_str_mv 2019-12-30T13:51:48Z
dc.date.available.fl_str_mv 2019-12-30T13:51:48Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv 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.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/38907
dc.identifier.issn.pt_BR.fl_str_mv 0883-9441
dc.identifier.doi.none.fl_str_mv 10.1016/j.jcrc.2009.04.004
identifier_str_mv 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.
0883-9441
10.1016/j.jcrc.2009.04.004
url https://www.arca.fiocruz.br/handle/icict/38907
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
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