Academic Journal
Evaluation of midazolam prescription in an adult ICU with a focus on patient safety ; Avaliação da prescrição de midazolam em uma UTI adulto com foco na segurança do paciente
| العنوان: | Evaluation of midazolam prescription in an adult ICU with a focus on patient safety ; Avaliação da prescrição de midazolam em uma UTI adulto com foco na segurança do paciente |
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| المؤلفون: | Coelho, Angélica Gomes, Bezerra, Jeamile Lima, Sá, Laisa Lis Fontinele de, Veloso, Rafael Pires, Soares, Verônica Rodrigues Sátiro, Sá, Pollyana Lopes Damasceno, Vieira, José Felipe Pinheiro do Nascimento, Albuquerque, Waleska Ferreira de |
| المصدر: | JRG Journal of Academic Studies; Vol. 7 No. 15 (2024): Journal of JRG Academic Studies; e151550 ; JRG Journal of Academic Studies ; Vol. 7 Núm. 15 (2024): Revista JRG de Estudos Acadêmicos; e151550 ; JRG Journal of Academic Studies; V. 7 N. 15 (2024): Revista JRG de Estudos Acadêmicos; e151550 ; Revista JRG de Estudos Acadêmicos ; v. 7 n. 15 (2024): Revista JRG de Estudos Acadêmicos; e151550 ; 2595-1661 ; ark:/57118/jrg.v7i15 |
| بيانات النشر: | Editora JRG |
| سنة النشر: | 2024 |
| مصطلحات موضوعية: | Sedação, Midazolam, Escala de RASS, Ventilação Mecânica, Sedation, RASS Scale, Mechanical Ventilation |
| الوصف: | Introduction: Sedation is a pharmacological strategy to assist patients who are on mechanical ventilation in the ICU, with midazolam being one of the main medications administered to provide comfort to the patient, as well as to allow the adequate performance of invasive procedures. In this context, to assess and monitor the patient's update with values attributable to their sedation, a frequently used tool is the Richmond Sedation Scale (RASS). Thus, this research proposes to evaluate the prescribed doses of midazolam in patients on mechanical ventilation in the ICU, juxtaposing them with the RASS classification. This study was carried out in the intensive care unit (ICU) of a university hospital from March to May 2023. General data related to the research participants, dose and flow rate of IV midazolam in the prescription and assessment of sedation by the RASS scale were found in the records of physicians and nurses. In total, 145 prescriptions were confirmed and it was observed that 83% were presented doses above the expected dose, calculated according to the patient's weight. When analyzing the level of sedation, discrepancies were observed between the records of health professionals (doctors and nurses), as well as deep sedation for most of the patients analyzed. Thus, the study highlighted the use of midazolam in high doses, differences between the sedation assessments described by professionals and several patients in deep sedation, which may have an impact on increased hospital stay and mortality. In this context, updating and training the clinical protocol, as well as the inclusion of the drug in this practice, are necessary strategies for optimizing hospital resources and therapeutic success. ; Introdução: A sedação é uma estratégia farmacológica para auxiliar os pacientes que estão sob ventilação mecânica na UTI, sendo o midazolam um dos principais medicamentos administrados para dar conforto ao paciente, bem como permitir a adequada realização de procedimentos invasivos. Neste contexto, para avaliar ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | Portuguese |
| Relation: | http://revistajrg.com/index.php/jrg/article/view/1550/1280; http://revistajrg.com/index.php/jrg/article/view/1550; ark:/57118/JRG.v7i15.1550 |
| DOI: | 10.55892/jrg.v7i15.1550 |
| الاتاحة: | http://revistajrg.com/index.php/jrg/article/view/1550 https://doi.org/10.55892/jrg.v7i15.1550 |
| Rights: | https://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.4F56FFB5 |
| قاعدة البيانات: | BASE |
| DOI: | 10.55892/jrg.v7i15.1550 |
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