Clinical manifestations after suppression of sedoanalgesia in adult patients in intensive care.
Introduction: in the intensive care unit (ICU), people treated with relevant pathologies are under sedation. Once they are under the principles of sedation suppression, it is important to identify the manifestations they present, typical of sedations. Objective: To describe the clinical manifestatio...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Sanatorio Allende. Departamento de enfermería
2024
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/notasenf/article/view/45422 |
| Aporte de: |
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I10-R322-article-45422 |
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ojs |
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Universidad Nacional de Córdoba |
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I-10 |
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R-322 |
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Notas de Enfermería |
| language |
Español |
| format |
Artículo revista |
| topic |
manifestations suppression sedation analgesia monitoring manifestaciones supresión sedación analgesia monitoreo manifestações supressão sedação analgesia monitorização |
| spellingShingle |
manifestations suppression sedation analgesia monitoring manifestaciones supresión sedación analgesia monitoreo manifestações supressão sedação analgesia monitorização Benitez, Graciela Escudero Alderete, Dana M. Ojeda, Alejandra Sanchez, Aymara Avalos, Daisi Clinical manifestations after suppression of sedoanalgesia in adult patients in intensive care. |
| topic_facet |
manifestations suppression sedation analgesia monitoring manifestaciones supresión sedación analgesia monitoreo manifestações supressão sedação analgesia monitorização |
| author |
Benitez, Graciela Escudero Alderete, Dana M. Ojeda, Alejandra Sanchez, Aymara Avalos, Daisi |
| author_facet |
Benitez, Graciela Escudero Alderete, Dana M. Ojeda, Alejandra Sanchez, Aymara Avalos, Daisi |
| author_sort |
Benitez, Graciela |
| title |
Clinical manifestations after suppression of sedoanalgesia in adult patients in intensive care. |
| title_short |
Clinical manifestations after suppression of sedoanalgesia in adult patients in intensive care. |
| title_full |
Clinical manifestations after suppression of sedoanalgesia in adult patients in intensive care. |
| title_fullStr |
Clinical manifestations after suppression of sedoanalgesia in adult patients in intensive care. |
| title_full_unstemmed |
Clinical manifestations after suppression of sedoanalgesia in adult patients in intensive care. |
| title_sort |
clinical manifestations after suppression of sedoanalgesia in adult patients in intensive care. |
| description |
Introduction: in the intensive care unit (ICU), people treated with relevant pathologies are under sedation. Once they are under the principles of sedation suppression, it is important to identify the manifestations they present, typical of sedations. Objective: To describe the clinical manifestations of sedation suppression syndrome present in patients treated at a Public Hospital in the City of Corrientes from January to December 2022. Methodology: quantitative, descriptive, cross-sectional and observational study. The sample included adult ICU patients. The calculation of the sample size was carried out through the simple random probabilistic method, resulting in a sample of 100 medical records. Observation was used to collect data and a semi-structured, anonymous form was used as an instrument. Each form contained specific data where the variables under study were categorized, such as age, sex, comorbidities, sedation time, type of sedation, sedation used, agitation, confusion, hallucination, diaphoresis, tachycardia. Results: regarding age, an average of 49 years was obtained, the predominant sex was male with 52%, regarding the most frequent comorbidities, 20% presented Acute Respiratory Failure and 16% Renal failure. The reason for admission to the ICU to a greater extent with 33% was due to respiratory difficulty and complicated Post-Surgeries 32%. The drugs of greatest choice were midazolam 94%, followed by fentanyl 80%. Regarding the sedation time of the patients, an average of 1265 hours was found. The clinical manifestations that were observed in the sample to a greater extent correspond to tachycardia 70%, agitation 52%, confusion and hypertension 37% and hallucination 24%. Conclusion: the manifestations that occurred most frequently were tachycardia, agitation, confusion, hypertension and, less frequently, hallucination. |
| publisher |
Sanatorio Allende. Departamento de enfermería |
| publishDate |
2024 |
| url |
https://revistas.unc.edu.ar/index.php/notasenf/article/view/45422 |
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I10-R322-article-454222024-10-02T13:47:32Z Clinical manifestations after suppression of sedoanalgesia in adult patients in intensive care. Manifestaciones clínicas post supresión de sedoanalgesia en pacientes adultos de una terapia intensiva. Manifestações clínicas após supressão da sedoanalgesia em pacientes adultos em terapia intensiva. Benitez, Graciela Escudero Alderete, Dana M. Ojeda, Alejandra Sanchez, Aymara Avalos, Daisi manifestations suppression sedation analgesia monitoring manifestaciones supresión sedación analgesia monitoreo manifestações supressão sedação analgesia monitorização Introduction: in the intensive care unit (ICU), people treated with relevant pathologies are under sedation. Once they are under the principles of sedation suppression, it is important to identify the manifestations they present, typical of sedations. Objective: To describe the clinical manifestations of sedation suppression syndrome present in patients treated at a Public Hospital in the City of Corrientes from January to December 2022. Methodology: quantitative, descriptive, cross-sectional and observational study. The sample included adult ICU patients. The calculation of the sample size was carried out through the simple random probabilistic method, resulting in a sample of 100 medical records. Observation was used to collect data and a semi-structured, anonymous form was used as an instrument. Each form contained specific data where the variables under study were categorized, such as age, sex, comorbidities, sedation time, type of sedation, sedation used, agitation, confusion, hallucination, diaphoresis, tachycardia. Results: regarding age, an average of 49 years was obtained, the predominant sex was male with 52%, regarding the most frequent comorbidities, 20% presented Acute Respiratory Failure and 16% Renal failure. The reason for admission to the ICU to a greater extent with 33% was due to respiratory difficulty and complicated Post-Surgeries 32%. The drugs of greatest choice were midazolam 94%, followed by fentanyl 80%. Regarding the sedation time of the patients, an average of 1265 hours was found. The clinical manifestations that were observed in the sample to a greater extent correspond to tachycardia 70%, agitation 52%, confusion and hypertension 37% and hallucination 24%. Conclusion: the manifestations that occurred most frequently were tachycardia, agitation, confusion, hypertension and, less frequently, hallucination. Introducción: en la unidad de cuidados intensivos (UCI), las personas asistidas con patologías relevantes se encuentran bajo sedación, una vez que estas se encuentran bajo los principios de supresión de la sedación, es importante identificar cuáles son las manifestaciones que presentan, propias de las sedaciones. Objetivo: describir las manifestaciones clínicas del síndrome de supresión de la sedoanalgesia presentes en pacientes asistidos en un Hospital Público de la Ciudad de Corrientes de enero a diciembre del 2022. Metodología: estudio cuantitativo, descriptivo, transversal y observacional. La muestra incluyó pacientes adultos de UCI. El cálculo del tamaño muestral se realizó a través del método probabilístico aleatorio simple resultando de éste una muestra de 100 historias clínicas. Para la recolección de datos se utilizó la observación y como instrumento un formulario semiestructurado, de carácter anónimo. Cada formulario contenía datos específicos donde se categorizan las variables en estudio como ser edad, sexo, comorbilidades, tiempo de sedoanalgesia, tipo de sedación, sedoanalgesia utilizada, agitación, confusión, alucinación, diaforesis, taquicardia. Resultados: en cuanto a la edad se obtuvo un promedio de 49 años, el sexo predominante fue el masculino con 52%, en cuanto a las comorbilidades más frecuentes, el 20% presentó Insuficiencia Respiratoria Aguda y el 16% Insuficiencia renal. El motivo de ingreso a UCI en mayor medida con el 33% fue por dificultad respiratoria y Post Quirúrgicos complicados 32%. Los fármacos de mayor elección fueron midazolam 94%, seguido del fentanilo 80%. En cuanto al tiempo de sedación de los pacientes, se encontró una media de 1265 horas. Las manifestaciones clínicas que se observaron en la muestra en mayor medida corresponden a taquicardia 70%, agitación 52%, un 37% confusión e hipertensión y un 24% alucinación. Conclusión: las manifestaciones que se presentaron con mayor frecuencia fueron taquicardia, agitación, confusión, hipertensión y con menor frecuencia alucinación. Introdução: na unidade de terapia intensiva (UTI), as pessoas tratadas com patologias relevantes estão sob sedação. Uma vez sob os princípios da supressão da sedação, é importante identificar as manifestações que apresentam, típicas das sedações. Objetivo: Descrever as manifestações clínicas da síndrome de supressão da sedação presentes em pacientes atendidos em um Hospital Público da Cidade de Corrientes no período de janeiro a dezembro de 2022. Metodologia: estudo quantitativo, descritivo, transversal e observacional. A amostra incluiu pacientes adultos internados em UTI. O cálculo do tamanho amostral foi realizado pelo método probabilístico aleatório simples, resultando em uma amostra de 100 prontuários. A observação foi utilizada para a coleta de dados e um formulário semiestruturado e anônimo foi utilizado como instrumento. Cada formulário continha dados específicos onde foram categorizadas as variáveis em estudo, como idade, sexo, comorbidades, tempo de sedação, tipo de sedação, sedação utilizada, agitação, confusão, alucinação, sudorese, taquicardia. Resultados: em relação à idade obteve-se uma média de 49 anos, o sexo predominante foi o masculino com 52%, quanto às comorbidades mais frequentes, 20% apresentavam Insuficiência Respiratória Aguda e 16% Insuficiência Renal. O motivo de internação na UTI em maior proporção com 33% foi por dificuldade respiratória e pós-cirúrgicos complicados 32%. Os medicamentos de maior escolha foram midazolam 94%, seguido de fentanil 80%. Quanto ao tempo de sedação dos pacientes, foi encontrada uma média de 1265 horas. As manifestações clínicas mais observadas na amostra correspondem a taquicardia 70%, agitação 52%, confusão e hipertensão 37% e alucinação 24%. Conclusão: as manifestações que ocorreram com maior frequência foram taquicardia, agitação, confusão, hipertensão e, menos frequentemente, alucinação. Sanatorio Allende. Departamento de enfermería 2024-06-22 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/notasenf/article/view/45422 10.59843/2618-3692.v25.n43.45422 Notas de Enfermería; Vol. 25 Núm. 43 (2024): Notas de Enfermeria; 34-43 2618-3692 1668-8821 10.59843/2618-3692.v25.n43 spa https://revistas.unc.edu.ar/index.php/notasenf/article/view/45422/45435 Derechos de autor 2024 Sanatorio Allende https://creativecommons.org/licenses/by-nc/4.0 |