TY  - JOUR
PY  - 2022//
TI  - Brazilian Psychiatric Association Consensus for the Management of Acute Intoxication. General management and specific interventions for drugs of abuse
JO  - Trends in psychiatry and psychotherapy
A1  - Baldaçara, Leonardo
A1  - Pettersen, Amanda de Gouvêa
A1  - Leite, Verônica da Silveira
A1  - Ismael, Flávia
A1  - Motta, Carolina Pereira
A1  - Freitas, Railson Alves
A1  - Fasanella, Nicoli Abrazo
A1  - Pereira, Lucas Alves
A1  - Barros, Maria Elisa Lima
A1  - Barbosa, Leonardo
A1  - Teles, Ana Luiza Silva
A1  - Palhano, Ruy
A1  - Guimarães, Hélio Penna
A1  - Braga, Maria Aparecida
A1  - Castaldelli-Maia, João Mauricio
A1  - Bicca, Carla
A1  - Gligliotti, Analice
A1  - Marques, Ana Cecilia Petta Roseli
A1  - da Silva, Antônio Geraldo
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To present the Brazilian Psychiatric Association's Consensus for the Management of Acute Intoxication. <br><br>METHODS: A group of experts selected by the Brazilian Psychiatric Association searched for articles in the MEDLINE (by PubMed) and Cochrane Database, limited to human studies and acute intoxication. Groups reviewed these materials for appropriateness to the topic and the quality of the work. To perform a table of agreed recommendations at the end of the systematic review, a survey using the Delphi method was conducted. Three survey rounds were conducted to develop a consensus. <br><br>RESULTS: Support for intoxication may start with Initial Management: Resuscitation/Life Support/Differential Diagnosis. For that, the group proposed these orders of assessment: A (airway), B (breathing), C (circulation), D.1. (disability), D.2. (differential diagnosis), D.3. (decontamination), D.4. (drug antidotes), E (enhanced elimination). Then, the group of experts presented specific interventions for the main drugs of abuse. <br><br>CONCLUSIONS: The approach to intoxication with drugs of abuse is complex and requires systematic protocols. The group of experts suggested the adoption of the classic use in welcoming the patient of the A-B-C-D-E technique with constant investigation of this patient until reaching a specific conduct and with the support to remit the picture. The group of experts believes that this document, at this time, can help psychiatric, general, and emergency doctors deal with psychiatric emergency episodes due to acute intoxication.<p />  <p>Language: en</p>
LA  - en
SN  - 2237-6089
UR  - http://dx.doi.org/10.47626/2237-6089-2022-0571
ID  - ref1
ER  -