Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Apr 2013
Comparative StudyTranslation, adaptation, and validation of the Sunderland Scale and the Cubbin & Jackson Revised Scale in Portuguese.
To Translate into Portuguese and evaluate the measuring properties of the Sunderland Scale and the Cubbin & Jackson Revised Scale, which are instruments for evaluating the risk of developing pressure ulcers during intensive care. ⋯ Both tools demonstrated reliability and validity for this sample. The Cubbin & Jackson Revised Scale yielded better predictive values for the development of pressure ulcers during intensive care.
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Rev Bras Ter Intensiva · Apr 2013
Review Comparative StudyDelirium rating scales in critically ill patients: a systematic literature review.
To identify scales that can establish a quantitative assessment of delirium symptoms in critically ill patients through a systematic review. ⋯ The scales identified allow the stratification and monitoring of critically ill patients with delirium. Among the six scales, the most studied and best suited for use in the intensive care units was the Intensive Care Delirium Screening.
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Rev Bras Ter Intensiva · Apr 2013
ReviewPerceptions and practices regarding delirium, sedation and analgesia in critically ill patients: a narrative review.
A significant number of landmark studies have been published in the last decade that increase the current knowledge on sedation for critically ill patients. Therefore, many practices that were considered standard of care are now outdated. Oversedation has been shown to be hazardous, and light sedation and no-sedation protocols are associated with better patient outcomes. ⋯ Implementing best practices is a major challenge that must also be addressed in the new guidelines. In this review, we summarize the findings of sedation and delirium research over the last years. We also discuss the gap between evidence and clinical practice and highlight ways to implement best practices at the bedside.
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Delirium occurs in up to 80% of patients admitted to intensive care units. Although under-diagnosed, delirium is associated with a significant increase in morbidity and mortality in critical patients. Here, we review the main risk factors, clinical manifestations and preventative and therapeutic approaches (pharmacological and non-pharmacological) for this illness.