Comparison between Comfort-Behavior and Ramsay scales in a pediatric intensive care unit

Soares, Marcella Zuliani Lopes; Mohallem, Andréa Gomes da Costa; Brandi, Simone; Cunha, Mariana Lucas da Rocha

doi:10.5935/1806-0013.20140007

Cited by 2 publications

(6 citation statements)

References 13 publications

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Section: Introductionmentioning

confidence: 99%

“…The administration of sedation and analgesics for critical patients can be very helpful, but their overuse can increase the need for mechanical ventilation and the length of stay. 1 , 2 Inadequate sedation can lead to agitation and cause unplanned extubation. 2 , 3 …”

Section: Introductionmentioning

confidence: 99%

“…Conditions such as pain, inconvenience, disturbed sleep, anxiety, and fear can continuously affect the patients physically and psychologically. 1,2 Health workers, including the nurses working in PICUs, are responsible for minimizing the physical and psychological effects of pain on patients through sedation and analgesic administration. 1 Analgesics and sedation are administered to optimize treatments, provide convenience for patients, control pain, and reduce anxiety and agitation in patients undergoing treatment or painful procedures.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Health workers, including the nurses working in PICUs, are responsible for minimizing the physical and psychological effects of pain on patients through sedation and analgesic administration. 1 Analgesics and sedation are administered to optimize treatments, provide convenience for patients, control pain, and reduce anxiety and agitation in patients undergoing treatment or painful procedures. The administration of sedation and anal-gesics for critical patients can be very helpful, but their overuse can increase the need for mechanical ventilation and the length of stay.…”

Section: Introductionmentioning

confidence: 99%

“…The administration of sedation and anal-gesics for critical patients can be very helpful, but their overuse can increase the need for mechanical ventilation and the length of stay. 1,2 Inadequate sedation can lead to agitation and cause unplanned extubation. 2,3 A systematic review of pediatric patients found that only 57.6% of them were optimally sedated, while 31.8% were oversedated, and 10.6% were undersedated.…”

Section: Introductionmentioning

confidence: 99%

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Comfort Behavior Scale Instrument: Validity And Reliability Test for Critically-ill Pediatric Patients in Indonesia

2020

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The COMFORT Behavior Scale (CBS) is an instrument that has been validated in several languages to assess the levels of sedation in children. This project was implemented to identify the validity and reliability of CBS. The design used was an analytic descriptive cross-sectional approach. Fifty-one children aged 1 month to 18 years who received analgesic and/or sedation therapy were purposively selected and assessed for their sedation levels using CBS and the Nurse Interpretation of Sedation Score (NISS). The data were analyzed using the Mann-Whitney U test to measure the concurrent validity; each item was analyzed using Pearson correlation; inter-rater reliability was measured by the Kappa coefficient; and the internal consistency was measured by Cronbach’s alpha. The results showed there was no significant correlation between the levels of sedation assessed using CBS and NISS (P= 0.118; α= 0.05). Six items in the CBS instrument were found to be valid (r= 0.348–0.813). The Cronbach’s alpha for CBS was 0.873. Thus, the Indonesian version of CBS is valid and reliable in assessing sedation levels in children.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comfort Behavior Scale Instrument: Validity And Reliability Test for Critically-ill Pediatric Patients in Indonesia

2020

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Incidência de hipersedação e síndrome de abstinência submetidos ao uso de sedoanalgésicos em hospitais brasileiros / Incidence of hypersedation and withdrawal syndrome submitted to the use of sedoanalgesics in brazilian hospitals

Elmescany¹,

Vieira²,

Oliveira³

et al. 2022

BJDV

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A unidade de terapia intensiva (UTI) é um ambiente muito propício à ocorrência de eventos adversos a medicamentos, tanto pelo estado crítico dos pacientes internados quanto pela polimedicação e frequentes modificações na farmacoterapia, o que tende a prejudicar a evolução clínica do paciente. Em UTIs pediátricas, a questão adquire aspectos diferenciados devido a imaturidade do organismo dos pacientes, o que o torna mais suscetível a efeitos prejudiciais de fármacos, além de promover farmacocinética diferenciada. Nos casos em que é necessário o uso de sedoanalgésicos, sobretudo para o emprego de suporte ventilatório, lida-se com os riscos de sedação profunda, síndrome de abstinência, além de aumento do tempo de internação e sequelas de longo prazo. Nesse contexto, o presente artigo se propõe a discutir, através de uma revisão bibliográfica, a ocorrência de hipersedação e síndrome de abstinência em pacientes pediátricos, internados em UTIs de hospitais brasileiros.

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Comparison between Comfort-Behavior and Ramsay scales in a pediatric intensive care unit

Cited by 2 publications

References 13 publications

Comfort Behavior Scale Instrument: Validity And Reliability Test for Critically-ill Pediatric Patients in Indonesia

Comfort Behavior Scale Instrument: Validity And Reliability Test for Critically-ill Pediatric Patients in Indonesia

Incidência de hipersedação e síndrome de abstinência submetidos ao uso de sedoanalgésicos em hospitais brasileiros / Incidence of hypersedation and withdrawal syndrome submitted to the use of sedoanalgesics in brazilian hospitals

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