Abstract
Objective
Identify the level of sedation and daily interruption and associated them with adverse events such as accidental extubation, pressure injury, phlebitis, loss of devices and patients falls at an intensive care unit.
Methods
Retrospective and quantitative study, involving 204 patients, whose sedation was assessed by means of the Richmond Agitation-Sedation scale, followed by a search in the electronic files and analysis of the nursing notes. Fisher’s test was used for statistical analysis.
Results
Out of 204 patients, 168 were under deep and 36 under light sedation. In approximately half of the deep sedation cases, daily sedation was not interrupted, and the same was true for the light sedation cases. Twenty-eight adverse events happened in deep sedation patients and 13 in light sedation cases, particularly pressure injury.
Conclusion
Most patients were under deep sedation. The adverse events were not associated with the daily interruption of sedation, but with work processes involving nursing care for the patient.
Intensive care units; Conscious sedation; Nursing care; Patient safety
Source: Bugedo G, Tobar E, Aguirre M, Gonzalez H, Godoy J, et al. Implantação de protocolo de redução de sedação profunda baseado em analgesia comprovadamente seguro e factível em pacientes submetidos à ventilação mecânica. Rev Bras Ter Intensiva. 2013; 25(3): 188-96.