Analgesia e sedação em unidade de terapia intensiva

Rioko Kimiko Sakata

doi:10.1590/S0034-70942010000600012

Artigo de Revisão

Analgesia e sedação em unidade de terapia intensiva

Analgesia and sedation in intensive care unit

Rioko Kimiko Sakata

http://dx.doi.org/10.1590/S0034-70942010000600012 Braz J Anesthesiol, vol.60, n6, p.653-658, 2010

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Resumo

JUSTIFICATIVA E OBJETIVOS: Grande parte dos pacientes de UTI apresenta dor. A administração de analgésico e sedativo é fundamental para o conforto do paciente, redução do estresse, bem como para evitar retardo da recuperação e da liberação da ventilação mecânica. O objetivo foi fazer uma revisão sobre analgesia e sedação em UTI. CONTEÚDO: Realizou-se revisão das causas da dor, dos métodos para avaliar a intensidade da dor e da sedação e das condutas empregadas para tratamento da dor e sedação. É importante a seleção de medicamentos, a fim de evitar sedação excessiva, com a realização da analgesia antes da sedação. CONCLUSÕES: Os fármacos mais utilizados são morfina, fentanil, midazolam e propofol. Outros medicamentos são usados com menor frequência.

Palavras-chave

ANALGESIA, SEDAÇÃO, TERAPIA INTENSIVA

Abstract

BACKGROUND AND OBJECTIVES: Many Intensive Care Unit (ICU) patients present pain. The administration of analgesics and sedatives is crucial for patient comfort and to reduce stress, as well as to prevent delay in recovery and ventilator weaning. The objective of the present study was to conduct a review on analgesia and sedation in the ICU. CONTENT: The present study reviewed the causes of pain, the methods used to evaluate the intensity of pain and sedation and the conducts employed in pain treatment and sedation. Drug selection is important in order to prevent excessive sedation, by performing analgesia before the sedation. CONCLUSIONS: The most commonly employed drugs are morphine, fentanyl, midazolam and propofol. Other medications are less frequently used.

Keywords

ANALGESIA, SEDATION, INTENSIVE THERAPY

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Analgesia e sedação em unidade de terapia intensiva

Analgesia and sedation in intensive care unit

Rioko Kimiko Sakata

Resumo

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Abstract

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