Current practices in managing acutely disturbed patients at three hospitals in Rio de Janeiro-Brazil: a prevalence studyReportar como inadecuado




Current practices in managing acutely disturbed patients at three hospitals in Rio de Janeiro-Brazil: a prevalence study - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Psychiatry

, 2:4

First Online: 22 January 2002Received: 25 October 2001Accepted: 22 January 2002

Abstract

BackgroundThe medical management of aggressive and violent behaviour is a critical situation for which there is little evidence. In order to prepare for a randomised trial, due to start in the psychiatric emergency rooms of Rio de Janeiro in 2001, a survey of current practice was necessary.

MethodsA seven day survey of pharmacological management of aggressive people with psychosis in the emergency rooms of all four public psychiatric hospitals in Rio de Janeiro, Brazil.

ResultsIn one hospital data were not available. Of the 764 people with psychosis attending these ERs, 74 were given IM medication for rapid tranquillisation 9.7%, 2.1-week-100,000. A haloperidol-promethazine mix with or without other drugs was used for the majority of patients 83%.

ConclusionThe haloperidol-promethazine mix, given intramuscularly for rapid tranquilization, is prevalent in Rio, where it is considered both safe and efficient. However, scientific evaluation of all pharmacological approaches to rapid tranquilization of psychotic people is inadequate or incomplete and a randomized trial of IM haloperidol-promethazine is overdue.

Download fulltext PDF



Autor: Gisele Huf - Evandro da Silva Freire Coutinho - Hugo M FagundesJr - Edmar S Oliveira - Jose Ramon RA Lopez - Marcio Gewa

Fuente: https://link.springer.com/







Documentos relacionados