Opióides no manejo da dor - uso correto ou subestimado? Dados de um hospital universitário

Daudt, Alexander W.; Hadlich, E.; Facin, M.A.; Aprato, R.M.S.; Pereira, Renato Piai

doi:10.1590/s0104-42301998000200007

Cited by 16 publications

(15 citation statements)

References 8 publications

(11 reference statements)

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“…Other studies have detected problems related to pediatric pain, including: a) disagreement among children's caregivers about the intensity of the pediatric pain (7); b) physicians' and nurses' limited understanding of pain assessment tools and the available methods for treatment of pediatric pain, which results in pain under-treatment (8,9); c) health professionals' lack of knowledge and misconceptions concerning analgesic and opioid prescriptions (10); d) inadequate pharmacological management of pediatric pain (11), and e) the high incidence of medical errors associated with pain medication prescriptions (12). …”

Section: Introductionmentioning

confidence: 99%

Pediatric pain: prevalence, assessment, and management in a teaching hospital

Linhares

Doca

Martinez

et al. 2012

Braz J Med Biol Res

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The goal of this study was to examine the prevalence, assessment and management of pediatric pain in a public teaching hospital. The study sample consisted of 121 inpatients (70 infants, 36 children, and 15 adolescents), their families, 40 physicians, and 43 nurses. All participants were interviewed except infants and children who could not communicate due to their clinical status. The interview included open-ended questions concerning the inpatients' pain symptoms during the 24 h preceding data collection, as well as pain assessment and pharmacological/non-pharmacological management of pain. The data were obtained from 100% of the eligible inpatients. Thirty-four children/adolescents (28%) answered the questionnaire and for the other 72% (unable to communicate), the family/health professional caregivers reported pain. Among these 34 persons, 20 children/adolescents reported pain, 68% of whom reported that they received pharmacological intervention for pain relief. Eighty-two family caregivers were available on the day of data collection. Of these, 40 family caregivers (49%) had observed their child's pain response. In addition, 74% reported that the inpatients received pharmacological management. Physicians reported that only 38% of the inpatients exhibited pain signs, which were predominantly acute pain detected during clinical procedures. They reported that 66% of patients received pharmacological intervention. The nurses reported pain signs in 50% of the inpatients, which were detected during clinical procedures. The nurses reported that pain was managed in 78% of inpatients by using pharmacological and/or non-pharmacological interventions. The findings provide evidence of the high prevalence of pain in pediatric inpatients and the under-recognition of pain by health professionals.

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Section: Introductionmentioning

confidence: 99%

Pediatric pain: prevalence, assessment, and management in a teaching hospital

Linhares

Doca

Martinez

et al. 2012

Braz J Med Biol Res

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“…However, this restriction or replacement seems not to be occurring because available studies report excessive meperidine consumption in Brazilian and other developing countries hospitals 3 . A study 13 has observed meperidine and morphine prescription profile in a hospital and has concluded that the most frequently used opioid was meperidine, being present in 90% of evaluated prescriptions, especially to manage postoperative pain. According to data of the II Home Survey on the use of Psychotropic Drugs in Brazil in 2005, meperidine was the second most used opioid reported by respondents 11 .…”

Section: Contentsmentioning

confidence: 99%

Meperidine: opioid not indicated for analgesia

Botan¹,

Lapena²

2015

Revista Dor

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BACKGROUND AND OBJECTIVES: Pain evaluation and the choice of the analgesic best providing its control are extremely important for patients' quality of life. This study aimed at describing the characteristics which make meperidine unfeasible for pain management, at calling the attention to the incidence of its prescriptions and to the need of a multidisciplinary educative action aiming at decreasing its use, in addition to presenting two opioids as options for analgesia. CONTENTS: National or international scientific and governmental publications between the years 1997 and 2013 used in this study report that meperidine is not indicated for pain management, primarily due to its short action time, presence of neurotoxic metabolite (normeperidine) and possibility of rapidly developing tolerance. CONCLUSION: According to analyzed data, meperidine was the most widely used opioid for analgesic or was among the most prescribed analgesics. This fact shows the real need for an educative multidisciplinary action to promote awareness of meperidine risks and to decrease its prescription. According to searched literature, morphine and methadone have longer action time and higher analgesic potency, with metabolites which are less toxic and noxious for patients as compared to meperidine.

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“…Seu uso é muitas vezes questionado por produzir flutuação nas concentrações plasmáticas da droga. Na pesquisa feita por Daudt (4) que fala sobre o uso de medicação SOS para realização de analgesia em pacientes pós-operatórios, o autor relata que um paciente pode alternar dor intensa e analgesia.…”

Section: Referencial Teóricounclassified

Administration of medication to use when needed and the care of psychiatric nursing

Estrela¹,

Loyola²

2014

Rev. Bras. Enferm.

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RESUMOTrata-se de estudo qualitativo que objetivou analisar os critérios clínicos utilizados para a administração das medicações prescritas de uso quando necessário (SOS); e discutir a implicação dos achados nesta pesquisa para a clínica da enfermagem psiquiátrica. Foram analisados os prontuários de pacientes do sexo feminino, internadas em uma instituição psiquiátrica na cidade do Rio de Janeiro, no recorte temporal de maioo a junho de 2009. Nos 38 prontuários analisados, foram encontradas 16 prescrições de medicações SOS. A idade média das pacientes girou em torno de 45-55 anos, com diagnóstico clínico de Transtorno Bipolar do Humor. A categoria de medicação mais prescrita como SOS foi a dos benzodiazepínicos, seguidos de antipsicóticos. Notou-se uma tendência à não valorização da administração da medicação SOS nas anotações. O estudo aponta a necessidade de que sejam estabelecidos critérios clínicos que indiquem a necessidade, ou não, de administrar medicações prescritas como SOS. Descritores: Enfermagem Psiquiátrica; Psiquiatria; Prescrição de Medicamentos; Enfermagem. ABSTRACTThis qualitative study aimed to analyze the clinical criteria used for the administration of prescribed medications for use when needed (SOS); and discuss the implication of the fi ndings in this research to clinical psychiatric nursing. The records of female patients admitted to a psychiatric institution in the city of Rio de Janeiro, in the time frame from May to June 2009, were analyzed. In the 38 patient records, 16 prescriptions for medications SOS were found. The mean age of patients was around 45-55 years with a clinical diagnosis of Bipolar Mood Disorder. The medication category most prescribed as SOS was of benzodiazepines, followed by antipsychotics. It was noticed a tendency to not valuing the administration of medication in SOS notes. The study points out the importance to establish clinical criteria to indicate the need, or not, to administer prescribed SOS medications. Key words: Psychiatric Nursing; Psychiatry; Medical Prescription; Nursing. RESUMENEste estudio cualitativo tuvo como objetivo analizar los criterios clínicos utilizados para la administración de medicamentos prescritos para su uso cuando sea necesario (SOS); y discutir las implicaciones de los hallazgos en esta investigación a la clínica de enfermería psiquiátrica. Fueran utilizados los registros de pacientes de sexo femenino admitidos en una institución psiquiátrica en la ciudad de Río de Janeiro, en el marco de tiempo de mayo a junio de 2009. En los 38 prontuarios de pacientes analizados, se encontraron 16 recetas para medicamentos SOS. La edad media de los pacientes fue de alrededor de 45 a 55 años con un diagnóstico clínico de trastorno bipolar del estado de ánimo. La categoría de medicamento más prescrito como SOS fue la de benzodiacepinas, seguido de los antipsicóticos. Notó-se una tendencia a no valorar la administración de medicamentos SOS en los registros. El estudio apunta a la importancia de estabelecimiento de criterios clínicos que indiquen la ...

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Opióides no manejo da dor - uso correto ou subestimado? Dados de um hospital universitário

Abstract: Pain, either acute or chronic, is not being adequately managed in our hospital.

Cited by 16 publications

References 8 publications

Pediatric pain: prevalence, assessment, and management in a teaching hospital

Pediatric pain: prevalence, assessment, and management in a teaching hospital

Meperidine: opioid not indicated for analgesia

Administration of medication to use when needed and the care of psychiatric nursing

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