Elaboração de um protocolo assistencial de sedação e analgesia em Unidade de Terapia Intensiva adulta

Abstract

Sedation and analgesia are common practices in intensive care. Patients hospitalized (ICUs) are patients who can hardly express their pain, so pain relief is essential for proper recovery. Several situations can lead patients admitted to the ICU to varying degrees of anxiety, generating situations that may complicate the clinical situation and prolong the patient's stay in the ICU, leading to the need for some degree of sedation in these patients. Considering the importance of adequate analgesia and sedation, the objective of this project is to elaborate a protocol of sedation and analgesia for an Adult Intensive Care Unit of a West Frontier Hospital, based on the practices adopted by the sector and resources available to the institution, a protocol in the form of a scheme for evaluation and a better course to follow in each case. This protocol aims to standardize procedures in sedation and pain management in ICU patients, reducing unpleasant effects to patients such as anxiety and respiratory distress due to mechanical ventilation, in addition, several sedative drugs, used in exaggerated doses can cause delirium. The study was carried out from the experience of a pharmacist resident in this practical field - Adult General Intensive Care Units. The use of protocols for this purpose should guide the professional in the choice of medication, the appropriate material and in the evaluation of discharge criteria and thus guarantee the quality of care, safety and effectiveness of treatment.