You searched for:"Thais Dias Midega"
We found (2) results for your search.-
Review Article
Ketamine use in critically ill patients: a narrative review
- Thais Dias Midega
, - Renato Carneiro de Freitas Chaves ,
- Carolina Ashihara ,
- Roger Monteiro Alencar ,
- Verônica Neves Fialho Queiroz , [ … ],
- Thiago Domingos Corrêa
Abstract
Review ArticleKetamine use in critically ill patients: a narrative review
Rev Bras Ter Intensiva. 2022;34(2):287-294
DOI 10.5935/0103-507X.20220027-en
- Thais Dias Midega ,
- Renato Carneiro de Freitas Chaves ,
- Carolina Ashihara ,
- Roger Monteiro Alencar ,
- Verônica Neves Fialho Queiroz ,
- Giovana Roberta Zelezoglo ,
- Luiz Carlos da Silva Vilanova ,
- Guilherme Benfatti Olivato ,
- Ricardo Luiz Cordioli ,
- Bruno de Arruda Bravim ,
- Thiago Domingos Corrêa
Views2See moreABSTRACT
Ketamine is unique among anesthetics and analgesics. The drug is a rapid-acting general anesthetic that produces an anesthetic state characterized by profound analgesia, preserved pharyngeal-laryngeal reflexes, normal or slightly enhanced skeletal muscle tone, cardiovascular and respiratory stimulation, and occasionally a transient and minimal respiratory depression. Research has demonstrated the efficacy of its use on anesthesia, pain, palliative care, and intensive care. Recently, it has been used for postoperative and chronic pain, as an adjunct in psychotherapy, as a treatment for depression and posttraumatic stress disorder, as a procedural sedative, and as a treatment for respiratory and/or neurologic clinical conditions. Despite being a safe and widely used drug, many physicians, such as intensivists and those practicing in emergency care, are not aware of the current clinical applications of ketamine. The objective of this narrative literature review is to present the theoretical and practical aspects of clinical applications of ketamine in intensive care unit and emergency department settings.
Views2
Abstract
Review ArticleKetamine use in critically ill patients: a narrative review
Rev Bras Ter Intensiva. 2022;34(2):287-294
DOI 10.5935/0103-507X.20220027-en
- Thais Dias Midega ,
- Renato Carneiro de Freitas Chaves ,
- Carolina Ashihara ,
- Roger Monteiro Alencar ,
- Verônica Neves Fialho Queiroz ,
- Giovana Roberta Zelezoglo ,
- Luiz Carlos da Silva Vilanova ,
- Guilherme Benfatti Olivato ,
- Ricardo Luiz Cordioli ,
- Bruno de Arruda Bravim ,
- Thiago Domingos Corrêa
Views2See moreABSTRACT
Ketamine is unique among anesthetics and analgesics. The drug is a rapid-acting general anesthetic that produces an anesthetic state characterized by profound analgesia, preserved pharyngeal-laryngeal reflexes, normal or slightly enhanced skeletal muscle tone, cardiovascular and respiratory stimulation, and occasionally a transient and minimal respiratory depression. Research has demonstrated the efficacy of its use on anesthesia, pain, palliative care, and intensive care. Recently, it has been used for postoperative and chronic pain, as an adjunct in psychotherapy, as a treatment for depression and posttraumatic stress disorder, as a procedural sedative, and as a treatment for respiratory and/or neurologic clinical conditions. Despite being a safe and widely used drug, many physicians, such as intensivists and those practicing in emergency care, are not aware of the current clinical applications of ketamine. The objective of this narrative literature review is to present the theoretical and practical aspects of clinical applications of ketamine in intensive care unit and emergency department settings.
- Thais Dias Midega
-
Original Article
Satisfaction of family members of critically ill patients admitted to a public hospital intensive care unit and correlated factors
Rev Bras Ter Intensiva. 2019;31(2):147-155
Abstract
Original ArticleSatisfaction of family members of critically ill patients admitted to a public hospital intensive care unit and correlated factors
Rev Bras Ter Intensiva. 2019;31(2):147-155
DOI 10.5935/0103-507X.20190024
Views1See moreABSTRACT
Objective:
To analyze the satisfaction, medical situation understanding and symptoms of anxiety and depression in family members of patients admitted to the intensive care unit.
Methods:
The family members of patients who were hospitalized for ≥ 72 hours were invited to participate in the study, which was performed in a public hospital. Questionnaires were answered to assess the understanding of the diagnosis, treatment and prognosis, and the support received in the intensive care unit. The family needs were also evaluated using a modified version of the Critical Care Family Needs Inventory (CCFNI). The Hospital Anxiety and Depression Scale (HADS) was used to assess the symptoms of anxiety and depression.
Results:
A total of 35 family members were interviewed within the patients’ first week of stay in the intensive care unit. Most patients (57.1%) were male, aged 54 ± 19 years. Sepsis was the main reason for admission to the intensive care unit (40%); the median of the Simplified Acute Physiology Score (SAPS) 3 was 68 (48 – 77), and 51.4% of the patients died in the intensive care unit. The majority of the family members were female (74.3%) and were sons or daughters of patients (54.3%), with a mean age of 43.2 ± 14 years. Overall, 77.1% of the family members were satisfied with the intensive care unit. A total of 37.1% of the family members did not understand the prognosis. Receiving clear and complete information in the intensive care unit and the doctor being accessible were factors that were significantly correlated with the overall family satisfaction. The prevalence of symptoms of anxiety (60%) and depression (54.3%) in the family members was high.
Conclusion:
The emotional distress of family members is high during a patient’s hospitalization in the intensive care unit, although satisfaction is also high. Clear and complete information provided by the intensivist and the support received in the intensive care unit are significantly correlated with the satisfaction of family members in a public hospital.
Views1Abstract
Original ArticleSatisfaction of family members of critically ill patients admitted to a public hospital intensive care unit and correlated factors
Rev Bras Ter Intensiva. 2019;31(2):147-155
DOI 10.5935/0103-507X.20190024
Views1See moreABSTRACT
Objective:
To analyze the satisfaction, medical situation understanding and symptoms of anxiety and depression in family members of patients admitted to the intensive care unit.
Methods:
The family members of patients who were hospitalized for ≥ 72 hours were invited to participate in the study, which was performed in a public hospital. Questionnaires were answered to assess the understanding of the diagnosis, treatment and prognosis, and the support received in the intensive care unit. The family needs were also evaluated using a modified version of the Critical Care Family Needs Inventory (CCFNI). The Hospital Anxiety and Depression Scale (HADS) was used to assess the symptoms of anxiety and depression.
Results:
A total of 35 family members were interviewed within the patients’ first week of stay in the intensive care unit. Most patients (57.1%) were male, aged 54 ± 19 years. Sepsis was the main reason for admission to the intensive care unit (40%); the median of the Simplified Acute Physiology Score (SAPS) 3 was 68 (48 – 77), and 51.4% of the patients died in the intensive care unit. The majority of the family members were female (74.3%) and were sons or daughters of patients (54.3%), with a mean age of 43.2 ± 14 years. Overall, 77.1% of the family members were satisfied with the intensive care unit. A total of 37.1% of the family members did not understand the prognosis. Receiving clear and complete information in the intensive care unit and the doctor being accessible were factors that were significantly correlated with the overall family satisfaction. The prevalence of symptoms of anxiety (60%) and depression (54.3%) in the family members was high.
Conclusion:
The emotional distress of family members is high during a patient’s hospitalization in the intensive care unit, although satisfaction is also high. Clear and complete information provided by the intensivist and the support received in the intensive care unit are significantly correlated with the satisfaction of family members in a public hospital.
Search
Search in:
KEY WORDS
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