Associação entre intensidades de dor e sedação em pacientes de terapia intensiva

Abstract

Objective: To identify the clinical profile, intensities of pain and sedation in patients in the intensive care unit, and associate the data. Methods: Quantitative and cross-sectional study performed in an intensive care unit of a teaching hospital. Sample of 240 patients. Clinical data were obtained from the electronic medical record. The following scales filled out by nurses were used: Richmond Agitation-Sedation Scale (RASS), visual numeric pain scale and Behavioral Pain Scale (BPS). Results: Prevalence of non-elderly, male, neurological and surgical patients in deep sedation. There was higher mortality in patients in deep sedation, and longer hospitalization time in patients in moderate sedation. Sedation was not effective in suppressing pain, but it served to control its intensity. Conclusion: The identification of intensity of pain and sedation performed by nurses helps decision making and provides adequate management of sedoanalgesia in patients of intensive care.