Tipos de sedação utilizada em UTI, prescritos em prontuário de um hospital público de MT

Abstract

In the intensive care unit (ICU) there is a need for long-term sedation in patients who frequently have multiple organ failure and hemodynamic instability, and most of the time total immobilization is rarely required. Analyze the use of benzodiazepine (BZD's) sedative and analgesic sedative drugs prescribed for sedation in the Intensive Care Unit (ICU) of a public hospital in Barra do Garças - MT. Pharmacoepidemiological, descriptive, retrospective, cross-sectional and exploratory study based on the analysis of prescription medications from medical records filed from January 2013 to July 2013 in patients with a target age ≥ 60 years. The following data were collected: sex, age, drug and prescribed dose. The tabulation and analysis was used an SPSS-Statistical Package for the Social Sciences® version 2017. Of the 147 charts analyzed, 56% of the patients are male, 7 different medications were prescribed 84 times for sedation/hypnosis/analgesic, 5 of them are hypnotic sedative drugs of the BZD class found 52 times in the prescriptions for acute myocardial infarction (AMI), 50% midazolam 15mg, 38 % Diazepam 10mg, 8% Lorazepam 2mg, 2% Bromazepam 6mg, 2% Clonazepam 2mg. However, medications such as Midazolam and fentanyl were the most prescribed and dispensed with a reason the hospitalization for AMI, it is noteworthy that the high complexity of the patient in the ICU, went necessary to use some sedative to control chronic pain. Therefore, the use of appropriate protocols, contribute for the less sedation, consequently, the less adverse drug reactions (ADR), leads to a decrease in morbidity and guarantees patient safety.