You searched for:"Rodrigo Bernardo Serafim"
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Delirium and sleep quality in the intensive care unit: the role of melatonin
Crit Care Sci. 2024;36:e20240083en
Abstract
Delirium and sleep quality in the intensive care unit: the role of melatonin
Crit Care Sci. 2024;36:e20240083en
DOI 10.62675/2965-2774.20240083-en
Views57CORRELATION BETWEEN DELIRIUM AND SLEEP DISORDERS Patients in intensive care units (ICUs) frequently face challenges related to delirium and sleep disturbances.() Despite extensive research in recent years, delirium remains a complex condition with uncertain pathophysiology, and its occurrence is associated with worse outcomes as well as longer durations cognitive and functional impairment.(,) Although no study […]See more -
Original Article
Perceptions and practices regarding light sedation in mechanically ventilated patients: a survey on the attitudes of Brazilian critical care physicians
Rev Bras Ter Intensiva. 2022;34(4):426-432
Abstract
Original ArticlePerceptions and practices regarding light sedation in mechanically ventilated patients: a survey on the attitudes of Brazilian critical care physicians
Rev Bras Ter Intensiva. 2022;34(4):426-432
DOI 10.5935/0103-507X.20220278-en
Views3ABSTRACT
Objective:
To characterize the knowledge and perceived attitudes toward pharmacologic interventions for light sedation in mechanically ventilated patients and to understand the current gaps comparing current practice with the recommendations of the Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the Intensive Care Unit.
Methods:
This was a cross-sectional cohort study based on the application of an electronic questionnaire focused on sedation practices.
Results:
A total of 303 critical care physicians provided responses to the survey. Most respondents reported routine use of a structured sedation scale (281; 92.6%). Almost half of the respondents reported performing daily interruptions of sedation (147; 48.4%), and the same percentage of participants (48.0%) agreed that patients are often over sedated. During the COVID-19 pandemic, participants reported that patients had a higher chance of receiving midazolam compared to before the pandemic (178; 58.8% versus 106; 34.0%; p = 0.05), and heavy sedation was more common during the COVID-19 pandemic (241; 79.4% versus 148; 49.0%; p = 0.01).
Conclusion:
This survey provides valuable data on the perceived attitudes of Brazilian intensive care physicians regarding sedation. Although daily interruption of sedation was a well-known concept and sedation scales were often used by the respondents, insufficient effort was put into frequent monitoring, use of protocols and systematic implementation of sedation strategies. Despite the perception of the benefits linked with light sedation, there is a need to identify improvement targets to propose educational strategies to improve current practices.
Keywords:artificialattitudesConscious sedationHealth knowledgeIntensive care unitspracticeRespirationSurveys and questionnairesSee more -
Commentary
What every intensivist should know about light sedation for mechanically ventilated patients
Rev Bras Ter Intensiva. 2021;33(4):480-482
Abstract
CommentaryWhat every intensivist should know about light sedation for mechanically ventilated patients
Rev Bras Ter Intensiva. 2021;33(4):480-482
DOI 10.5935/0103-507X.20210069
Views3INTRODUCTIONPain, agitation and anxiety are frequently experienced by patients requiring intensive care unit (ICU) admission. These events are often associated with tracheal intubation, mechanical ventilation (MV) and bedside procedures. Sedatives and analgesics can be used to minimize distress, ensure comfort, and decrease the work of breathing to achieve better synchrony with the ventilator. A number […]See more -
Commentary
What every intensivist needs to know about subsyndromal delirium in the intensive care unit
Rev Bras Ter Intensiva. 2020;32(1):14-16
Abstract
CommentaryWhat every intensivist needs to know about subsyndromal delirium in the intensive care unit
Rev Bras Ter Intensiva. 2020;32(1):14-16
DOI 10.5935/0103-507X.20200004
Views0IntroductionSeveral studies have described the negative outcomes associated with delirium in the short or long term,(,) but not every form of delirium has the same prognosis. The duration and severity of delirium have been found to be the main factors associated with worse outcomes.(,) In fact, a very short delirium duration seems to have little […]See more -
Editorial
Sedation and memories in critical care
Rev Bras Ter Intensiva. 2014;26(2):81-82
Abstract
EditorialSedation and memories in critical care
Rev Bras Ter Intensiva. 2014;26(2):81-82
DOI 10.5935/0103-507X.20140014
Views0Sedation strategies in intensive care units (ICU) have changed over the past decade towards daily wake-up calls, less sedation and even no sedation.(–) Furthermore, new ventilatory modes were designed to promote better patient synchrony with the ventilator and fewer sedation requirements. It is well known that the strategies used to reduce sedation reduce the length […]See more
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis