Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians
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| Publication Date: | 2009 |
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| Format: | Article |
| Language: | eng |
| Source: | Repositório Institucional da FIOCRUZ (ARCA) |
| DOI: | 10.1016/j.jcrc.2009.04.004 |
| Download full: | https://arca.fiocruz.br/handle/icict/38907 |
Summary: | 2020-12-30 |
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Salluh, Jorge I. F.Dal-Pizzol, FelipeMello, Patricia V. C.Friedman, GilbertoSilva, EliézerTeles, José Mário M.Lobo, Suzana M. A.Bozza, Fernando A.Soares, MarcioBrazilian Research In Intensive Care Network2019-12-30T13:51:48Z2019-12-30T13:51:48Z2009SALLUH, Jorge I. F. et al. Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 Brazilian critical care physicians. Journal of Critical Care, v. 24, p. 556-562, 2009.0883-9441https://arca.fiocruz.br/handle/icict/3890710.1016/j.jcrc.2009.04.004engElsevierDelirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physiciansinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-12-30Instituto Nacional de Câncer. Hospital de Câncer-I. Medical-Surgical Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Universidade do Extremo Sul Catarinense. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, BraziUniversidade Estadual do Piauí. Intensive Care Unit. Teresina, PI, Brasil.Universidade Federal de Ciências da Saúde de Porto Alegre. Curso de Medicina. Departamento de Medicina Interna. Porto Alegre, RS, Brasil.Universidade de São Paulo. São Paulo, SP, Brasil.Hospital Português. Intensive Care Unit. Salvador, BA, Brazil.Medical School and Hospital de Base. Department of Internal Medicine. Division of Critical Care Medicine. São José do Rio Preto, SP, Brazil.Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Unidade de Terapia Intensiva. Rio de Janeiro, RJ, Brasil.Instituto Nacional de Câncer. Hospital de Câncer-I. Medical-Surgical Intensive Care Unit. Rio de Janeiro, RJ, Brasil.Purpose: The aim of the study was to characterize the practices of Brazilian ICU physicians toward sedation and delirium. Materials and Methods: A cross-sectional survey was conducted among a convenience sample of critical care physicians between April and June 2008. Results: One thousand fifteen critical care physicians responded. Sedation scoring systems were used by893 (88.3%) of the respondents. The Ramsay and Richmond Agitation-Sedation Scale were used by81.9% and 6.8% of the respondents, respectively. Most respondents did not discuss sedation targets(62.8%) or practice daily sedative interruption (68.3%) in most patients. More than half of the respondents(52.7%) used a sedation protocol, and the most used sedatives were midazolam (97.8%), fentanyl (91.5%),and propofol (55%). A significant rate of the respondents (42.7%) estimated that more than 25% of patients under mechanical ventilation have delirium, but 53.5% occasionally assessed patients fordelirium. Thirteen percent used specific delirium scales, with the Confusion Assessment Method for intensive care unit (ICU) being the most applied. Delirium was often treated with haloperidol (88.1%); however, atypical antipsychotics (36.3%) and benzodiazepines (42.3%) were also used. Conclusions: Despite the recent advances in knowledge of sedation and delirium, most of them are still not translated into clinical practice. Significant variation in practice is observed among ICU physicians andrepresents a potential target for future research and educational interventions.DeliriumSedationMechanical ventilationCritically ill patientsAcute brain dysfunction03 Saúde e Bem-Estarinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://arca.fiocruz.br/bitstreams/c65510ff-8818-4b13-8072-326fb5707309/download8a4605be74aa9ea9d79846c1fba20a33MD51falseAnonymousREADORIGINALve_Salluh_Jorge_etal_INI_2009.pdfve_Salluh_Jorge_etal_INI_2009.pdfapplication/pdf198405https://arca.fiocruz.br/bitstreams/a79f4b88-a262-4a25-82e1-d735d244c722/downloadf9aa2020bb60f0de7189797260306234MD52trueAnonymousREAD2020-12-30TEXTve_Salluh_Jorge_etal_INI_2009.pdf.txtve_Salluh_Jorge_etal_INI_2009.pdf.txtExtracted texttext/plain32335https://arca.fiocruz.br/bitstreams/d275aaef-8c1e-4de4-b3d7-03a53f540b1a/downloada082ef83c9a2dca3f6835ec29e29c399MD57falseAnonymousREAD2020-12-30THUMBNAILve_Salluh_Jorge_etal_INI_2009.pdf.jpgve_Salluh_Jorge_etal_INI_2009.pdf.jpgGenerated Thumbnailimage/jpeg5645https://arca.fiocruz.br/bitstreams/d0288290-55bb-431d-9a25-6552d51015e4/download6d6cb607cf7355052dd59f9211c915ceMD58falseAnonymousREAD2020-12-30icict/389072025-07-29 19:02:34.963open.accessoai:arca.fiocruz.br:icict/38907https://arca.fiocruz.brRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352025-07-29T22:02:34Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)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 |
| dc.title.none.fl_str_mv |
Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians |
| title |
Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians |
| spellingShingle |
Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians Salluh, Jorge I. F. Delirium Sedation Mechanical ventilation Critically ill patients Acute brain dysfunction 03 Saúde e Bem-Estar |
| title_short |
Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians |
| title_full |
Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians |
| title_fullStr |
Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians |
| title_full_unstemmed |
Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians |
| title_sort |
Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 critical care physicians |
| author |
Salluh, Jorge I. F. |
| author_facet |
Salluh, Jorge I. F. Dal-Pizzol, Felipe Mello, Patricia V. C. Friedman, Gilberto Silva, Eliézer Teles, José Mário M. Lobo, Suzana M. A. Bozza, Fernando A. Soares, Marcio Brazilian Research In Intensive Care Network |
| author_role |
author |
| author2 |
Dal-Pizzol, Felipe Mello, Patricia V. C. Friedman, Gilberto Silva, Eliézer Teles, José Mário M. Lobo, Suzana M. A. Bozza, Fernando A. Soares, Marcio Brazilian Research In Intensive Care Network |
| author2_role |
author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Salluh, Jorge I. F. Dal-Pizzol, Felipe Mello, Patricia V. C. Friedman, Gilberto Silva, Eliézer Teles, José Mário M. Lobo, Suzana M. A. Bozza, Fernando A. Soares, Marcio Brazilian Research In Intensive Care Network |
| dc.subject.en.none.fl_str_mv |
Delirium Sedation Mechanical ventilation Critically ill patients Acute brain dysfunction |
| topic |
Delirium Sedation Mechanical ventilation Critically ill patients Acute brain dysfunction 03 Saúde e Bem-Estar |
| dc.subject.ods.none.fl_str_mv |
03 Saúde e Bem-Estar |
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2020-12-30 |
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2009 |
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2009 |
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2019-12-30T13:51:48Z |
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2019-12-30T13:51:48Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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SALLUH, Jorge I. F. et al. Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 Brazilian critical care physicians. Journal of Critical Care, v. 24, p. 556-562, 2009. |
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https://arca.fiocruz.br/handle/icict/38907 |
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0883-9441 |
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10.1016/j.jcrc.2009.04.004 |
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SALLUH, Jorge I. F. et al. Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 Brazilian critical care physicians. Journal of Critical Care, v. 24, p. 556-562, 2009. 0883-9441 10.1016/j.jcrc.2009.04.004 |
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Elsevier |
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