Sedation in the post-anaesthesia care unit

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Autor principal: Andrius Macas
Formato: Artículo científico
Lenguaje:en
Publicado: Vilniaus Universitetas 2012
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author Andrius Macas
author_facet Andrius Macas
contents Sedation in the post-anaesthesia care unit Andrius Macas Lina Andriuškevičiūtė Jūratė Paltanavičiūtė Ieva Slauzgalvytė Medicina Post pain delirium benzodiazepine postoperative care Background. Post-anaesthetic sedation is a common practice as it provides greater comfort and psychological stability for patients. Some specialists claim that sedation in the post-anaesthetic care unit (PACU) is applied too seldom due to several reasons. The goal of this study is to evaluate sedation in PACU in several aspects. Materials and methods. A total of 299 patients admitted to the PACU after general, orthopedic-traumatologic or urologic surgical procedures were enrolled in this prospective study. The patients evaluated their quality of sleep and the worst intensity of pain experienced in PACU, which was assessed using the Numerical Rating Scale. Nurses evaluated sedation using the Motor Activity Assessment Scale and filled in the questionnaire about the importance of sedation. Results. Statistically significant difference was observed in the quality of sleep between the patients sedated using benzodiazepines and opioids together and non-sedated patients (p = 0.025). There is no considerable difference in the statistics concerning the behavior of the patients. The patients prescribed only with opioids IV or IM, as well as the patients prescribed with opioids together with benzodiazepines, feel less intense pain compared to the non-sedated patients (p = 0.016, p = 0.03). According to the personnel, sedation is necessary in PACU. Half of them think that patients prescribed with opioids need additional sedation. Conclusions. Sedation is necessary in PACU. This fact is evident in the statistically significant difference of comfort factors among the patients as well as in the opinion of the nursing personnel that spend most of the time communicating and caring about the comfort of the patients. 2012 artículo científico 2029-4174 https://www.redalyc.org/articulo.oa?id=694074047019 en http://www.redalyc.org/revista.oa?id=6940 Acta medica Lituanica application/pdf Vilniaus Universitetas Acta medica Lituanica (Lituania) Num.3 Vol.19
format Artículo científico
id redalyc_694074047019
institution Redalyc
language en
publishDate 2012
publisher Vilniaus Universitetas
spellingShingle Sedation in the post-anaesthesia care unit
Andrius Macas
Medicina
Post
pain
delirium
benzodiazepine
postoperative care
Sedation in the post-anaesthesia care unit Andrius Macas Lina Andriuškevičiūtė Jūratė Paltanavičiūtė Ieva Slauzgalvytė Medicina Post pain delirium benzodiazepine postoperative care Background. Post-anaesthetic sedation is a common practice as it provides greater comfort and psychological stability for patients. Some specialists claim that sedation in the post-anaesthetic care unit (PACU) is applied too seldom due to several reasons. The goal of this study is to evaluate sedation in PACU in several aspects. Materials and methods. A total of 299 patients admitted to the PACU after general, orthopedic-traumatologic or urologic surgical procedures were enrolled in this prospective study. The patients evaluated their quality of sleep and the worst intensity of pain experienced in PACU, which was assessed using the Numerical Rating Scale. Nurses evaluated sedation using the Motor Activity Assessment Scale and filled in the questionnaire about the importance of sedation. Results. Statistically significant difference was observed in the quality of sleep between the patients sedated using benzodiazepines and opioids together and non-sedated patients (p = 0.025). There is no considerable difference in the statistics concerning the behavior of the patients. The patients prescribed only with opioids IV or IM, as well as the patients prescribed with opioids together with benzodiazepines, feel less intense pain compared to the non-sedated patients (p = 0.016, p = 0.03). According to the personnel, sedation is necessary in PACU. Half of them think that patients prescribed with opioids need additional sedation. Conclusions. Sedation is necessary in PACU. This fact is evident in the statistically significant difference of comfort factors among the patients as well as in the opinion of the nursing personnel that spend most of the time communicating and caring about the comfort of the patients. 2012 artículo científico 2029-4174 https://www.redalyc.org/articulo.oa?id=694074047019 en http://www.redalyc.org/revista.oa?id=6940 Acta medica Lituanica application/pdf Vilniaus Universitetas Acta medica Lituanica (Lituania) Num.3 Vol.19
title Sedation in the post-anaesthesia care unit
topic Medicina
Post
pain
delirium
benzodiazepine
postoperative care
url https://www.redalyc.org/articulo.oa?id=694074047019