Protocolo de sedação e analgesia para procedimentos ortopédicos em adultos na unidade de emergência
DOI:
https://doi.org/10.34119/bjhrv7n9-327Keywords:
sedativos, analgesia, guia de prática clínica, serviço hospitalar de emergência, procedimentos ortopédicosAbstract
Introdução: O atendimento em unidade de emergência de pacientes com enfermidades ortopédicas requer, com frequência, a realização de procedimentos terapêuticos dolorosos e que geram ansiedade e desconforto para o paciente. O uso de técnicas de sedação e analgesia para procedimentos (SAP) no pronto-socorro está associada a redução de desconforto e apreensão, além de evitar memórias traumáticas e facilitar a execução dos procedimentos. Objetivo: Propor um protocolo assistencial multidisciplinar para sedação e analgesia de pacientes ortopédicos adultos submetidos a procedimentos na sala de emergência. Método: Revisão narrativa na base de dados PubMed de estudos publicados até Agosto de 2024, incluindo artigos originais, artigos de revisão e revisões sistemáticas, além de livros-texto e publicações de agências reguladoras. Os dados foram discutidos em reuniões multidisciplinares mensais. Resultados: Elaboração do protocolo através de recomendações baseadas em levantamento bibliográfico. Conclusão: A utilização do protocolo de sedação e analgesia em procedimentos ortopédicos deve orientar a equipe de emergência no direcionamento do paciente, na escolha da medicação, nos cuidados adequados e na avaliação dos critérios de alta.
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