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Báo cáo y học: "Chemical restraint in routine clinical practice: a report from a general hospital psychiatric ward in Greece"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Chemical restraint in routine clinical practice: a report from a general hospital psychiatric ward in Greece. | Bilanakis et al. Annals of General Psychiatry 2011 10 4 http www.annals-general-psychiatry.eom content 10 1 4 ANNALS OF GENERAL PSYCHIATRY PRIMARY RESEARCH Open Access Chemical restraint in routine clinical practice a report from a general hospital psychiatric ward in Greece Nikolaos Bilanakis1 Georgios Papamichael1 Vaios Peritogiannis2 Abstract Background There is a dearth of studies regarding chemical restraint in routine clinical psychiatric practice. There may be wide variations between different settings and countries. Methods A retrospective study on chemical restraint was performed in the 11-bed psychiatric ward of the General Hospital of Arta in northwestern Greece. All admissions over a 2-year-period from March 2008 to March 2010 were examined. Results Chemical restraint was applied in 33 cases 10.5 of total admissions . From a total of 82 injections 22 involved a benzodiazepine and or levomepromazine whereas 60 injections involved an antipsychotic agent almost exclusively haloperidol 96.7 of cases usually in combination with a benzodiazepine 61.7 of cases . In 36.4 of cases the patient was further subjected to restraint or seclusion. Conclusions In our unit clinicians prefer the combined antipsychotic benzodiazepine regimen for the management of patients acute agitation and violent behaviour. Conventional antipsychotics are administrated almost exclusively and in a significant proportion of cases further coercive measures are applied. Studies on the practice of chemical restraint should be regularly performed in clinical settings. Introduction Coercive measures are commonly used in psychiatric treatment for the management of behaviour in patients who are disturbed although the need for alternatives has been widely recognised 1 . Most authors focus on seclusion and physical restraint whereas chemical pharmaceutical restraint or rapid tranquilisation has gained little attention in the recent literature. We have previously reported on the practice of .