Valverde CN, Rocha LJM

Language: Spanish
References: 14
Page: 6-11
PDF size: 299.39 Kb.

ABSTRACT

Background: The emergency physician is faced with critical patients who can not express the pain and sedation requiring mechanical ventilation, management is essential, as is well known the negative effects of pain on the physiological behavior and mental patients as well as increased morbidity and mortality. Methods: Descriptive, transversal and observational study. We captured two months patients on mechanical ventilation and mild-moderate sedation with midazolam, we applied the rating scale BPS pain to identify the level of pain was recorded in data sheet given the analgesic management was recorded in the data sheet. Descriptive statistical analysis was conducted. Results: We analyzed 56 patients, mean age was 60.45 years. The most common reason for intubation was sepsis, followed by respiratory problems. The level of sedation observed was more moderate. Pain intensity ranged from 4 to 11 points with an average of 7 (moderate intensity). Painkillers were the most used NSAIDs. The clonixinate lysine was the most common. 25% of the sample was not medicated. Conclusions: The most widely used analgesics to manage pain in critically ill patients are NSAIDs. The management administered does not inhibit the presence of pain.

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