EFECTO DE LA METFORMINA EN LA FUNCIÓN SISTOLICA Y DIASTOLICA DEL VENTRÍCULO IZQUIERDO VALORADO POR ECOCARDIOGRAMA EN PACIENTES CON SÍNDROME METABÓLICO

Abstract

Objectives: The emergency physician is faced with critical patients who can not express the pain and sedation requiring mechanical ventilation, management is essential for the negative effects that this causes, the main objective of this study is to determine what are the most widely used analgesics in the emergency department is associated with sedation in mechanically ventilated patients in the emergency department HGR number 25 and determines whether the analgesic administered to the patient management inhibits the presence of pain. Material and Methods: Retrospective observational study. We captured two months patients on mechanical ventilation, moderate and mild sedation with midazolam, was applied to evaluate pain scale BPS to identify the level of pain was recorded in the data sheet given the analgesic management and descriptive statistical analysis was performed . Results: 56 patients were analyzed. The mean age was 60.45 years. The most common reason for intubation was sepsis, followed by respiratory problems. Pain intensity ranged from 4 to 11 points with an average of 7 (moderate intensity). Painkillers were the most used NSAIDs. The clonixinate lysine was the most common. 25% of the sample was not medicated. Conclusions: The most widely used analgesics to manage pain in critically ill patients are NSAIDs. The management administered does not inhibit the presence of pain.