Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)

Detalhes bibliográficos
Autor(a) principal: Luz, Mariana
Data de Publicação: 2022
Outros Autores: Brandão Barreto, Bruna, de Castro, Roberta Esteves Vieira, Salluh, Jorge, Dal-Pizzol, Felipe, Araujo, Caio, De Jong, Audrey, Chanques, Gérald, Myatra, Sheila Nainan, Tobar, Eduardo, Gimenez-Esparza Vich, Carolina, Carini, Federico, Ely, Eugene Wesley, Stollings, Joanna L., Drumright, Kelly, Kress, John, Povoa, Pedro, Shehabi, Yahya, Mphandi, Wilson, Gusmao-Flores, Dimitri
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/133576
Resumo: Funding Information: The Société Française d’Anesthésie et de Réanimation (SFAR), Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC), Sociedad Argentina de Terapia Intensiva (SATI), Sociedad Chilena de Medicina Intensiva (SOCHIMI), Associação de Medicina Intensiva Brasileira (AMIB-Net) and the Brazilian Research in Intensive Care Network (BricNet) supported this survey. We would also like to thank our friend Tiago Rocha for making the amazing logo for this study. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brazil (CAPES)—Finance Code 001. Publisher Copyright: © 2022, The Author(s).
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spelling Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)an international survey before and during the COVID-19 pandemicAnalgesiaCOVID-19DeliriumMobilizationSedationSleep deprivationCritical Care and Intensive Care MedicineFunding Information: The Société Française d’Anesthésie et de Réanimation (SFAR), Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC), Sociedad Argentina de Terapia Intensiva (SATI), Sociedad Chilena de Medicina Intensiva (SOCHIMI), Associação de Medicina Intensiva Brasileira (AMIB-Net) and the Brazilian Research in Intensive Care Network (BricNet) supported this survey. We would also like to thank our friend Tiago Rocha for making the amazing logo for this study. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brazil (CAPES)—Finance Code 001. Publisher Copyright: © 2022, The Author(s).Background: Since the publication of the 2018 Clinical Guidelines about sedation, analgesia, delirium, mobilization, and sleep deprivation in critically ill patients, no evaluation and adequacy assessment of these recommendations were studied in an international context. This survey aimed to investigate these current practices and if the COVID-19 pandemic has changed them. Methods: This study was an open multinational electronic survey directed to physicians working in adult intensive care units (ICUs), which was performed in two steps: before and during the COVID-19 pandemic. Results: We analyzed 1768 questionnaires and 1539 (87%) were complete. Before the COVID-19 pandemic, we received 1476 questionnaires and 292 were submitted later. The following practices were observed before the pandemic: the Visual Analog Scale (VAS) (61.5%), the Behavioral Pain Scale (BPS) (48.2%), the Richmond Agitation Sedation Scale (RASS) (76.6%), and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) (66.6%) were the most frequently tools used to assess pain, sedation level, and delirium, respectively; midazolam and fentanyl were the most frequently used drugs for inducing sedation and analgesia (84.8% and 78.3%, respectively), whereas haloperidol (68.8%) and atypical antipsychotics (69.4%) were the most prescribed drugs for delirium treatment; some physicians regularly prescribed drugs to induce sleep (19.1%) or ordered mechanical restraints as part of their routine (6.2%) for patients on mechanical ventilation; non-pharmacological strategies were frequently applied for pain, delirium, and sleep deprivation management. During the COVID-19 pandemic, the intensive care specialty was independently associated with best practices. Moreover, the mechanical ventilation rate was higher, patients received sedation more often (94% versus 86.1%, p < 0.001) and sedation goals were discussed more frequently in daily rounds. Morphine was the main drug used for analgesia (77.2%), and some sedative drugs, such as midazolam, propofol, ketamine and quetiapine, were used more frequently. Conclusions: Most sedation, analgesia and delirium practices were comparable before and during the COVID-19 pandemic. During the pandemic, the intensive care specialty was a variable that was independently associated with the best practices. Although many findings are in accordance with evidence-based recommendations, some practices still need improvement.Comprehensive Health Research Centre (CHRC) - pólo NMSCentro de Estudos de Doenças Crónicas (CEDOC)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNLuz, MarianaBrandão Barreto, Brunade Castro, Roberta Esteves VieiraSalluh, JorgeDal-Pizzol, FelipeAraujo, CaioDe Jong, AudreyChanques, GéraldMyatra, Sheila NainanTobar, EduardoGimenez-Esparza Vich, CarolinaCarini, FedericoEly, Eugene WesleyStollings, Joanna L.Drumright, KellyKress, JohnPovoa, PedroShehabi, YahyaMphandi, WilsonGusmao-Flores, Dimitri2022-02-24T23:23:31Z2022-02-042022-02-04T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/133576eng2110-5820PURE: 41970896https://doi.org/10.1186/s13613-022-00985-yinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:12:20Zoai:run.unl.pt:10362/133576Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:47:51.430045Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)
an international survey before and during the COVID-19 pandemic
title Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)
spellingShingle Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)
Luz, Mariana
Analgesia
COVID-19
Delirium
Mobilization
Sedation
Sleep deprivation
Critical Care and Intensive Care Medicine
title_short Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)
title_full Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)
title_fullStr Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)
title_full_unstemmed Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)
title_sort Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU)
author Luz, Mariana
author_facet Luz, Mariana
Brandão Barreto, Bruna
de Castro, Roberta Esteves Vieira
Salluh, Jorge
Dal-Pizzol, Felipe
Araujo, Caio
De Jong, Audrey
Chanques, Gérald
Myatra, Sheila Nainan
Tobar, Eduardo
Gimenez-Esparza Vich, Carolina
Carini, Federico
Ely, Eugene Wesley
Stollings, Joanna L.
Drumright, Kelly
Kress, John
Povoa, Pedro
Shehabi, Yahya
Mphandi, Wilson
Gusmao-Flores, Dimitri
author_role author
author2 Brandão Barreto, Bruna
de Castro, Roberta Esteves Vieira
Salluh, Jorge
Dal-Pizzol, Felipe
Araujo, Caio
De Jong, Audrey
Chanques, Gérald
Myatra, Sheila Nainan
Tobar, Eduardo
Gimenez-Esparza Vich, Carolina
Carini, Federico
Ely, Eugene Wesley
Stollings, Joanna L.
Drumright, Kelly
Kress, John
Povoa, Pedro
Shehabi, Yahya
Mphandi, Wilson
Gusmao-Flores, Dimitri
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - pólo NMS
Centro de Estudos de Doenças Crónicas (CEDOC)
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Luz, Mariana
Brandão Barreto, Bruna
de Castro, Roberta Esteves Vieira
Salluh, Jorge
Dal-Pizzol, Felipe
Araujo, Caio
De Jong, Audrey
Chanques, Gérald
Myatra, Sheila Nainan
Tobar, Eduardo
Gimenez-Esparza Vich, Carolina
Carini, Federico
Ely, Eugene Wesley
Stollings, Joanna L.
Drumright, Kelly
Kress, John
Povoa, Pedro
Shehabi, Yahya
Mphandi, Wilson
Gusmao-Flores, Dimitri
dc.subject.por.fl_str_mv Analgesia
COVID-19
Delirium
Mobilization
Sedation
Sleep deprivation
Critical Care and Intensive Care Medicine
topic Analgesia
COVID-19
Delirium
Mobilization
Sedation
Sleep deprivation
Critical Care and Intensive Care Medicine
description Funding Information: The Société Française d’Anesthésie et de Réanimation (SFAR), Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC), Sociedad Argentina de Terapia Intensiva (SATI), Sociedad Chilena de Medicina Intensiva (SOCHIMI), Associação de Medicina Intensiva Brasileira (AMIB-Net) and the Brazilian Research in Intensive Care Network (BricNet) supported this survey. We would also like to thank our friend Tiago Rocha for making the amazing logo for this study. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brazil (CAPES)—Finance Code 001. Publisher Copyright: © 2022, The Author(s).
publishDate 2022
dc.date.none.fl_str_mv 2022-02-24T23:23:31Z
2022-02-04
2022-02-04T00:00:00Z
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.uri.fl_str_mv http://hdl.handle.net/10362/133576
url http://hdl.handle.net/10362/133576
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2110-5820
PURE: 41970896
https://doi.org/10.1186/s13613-022-00985-y
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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