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A review of the practice and position of monitoring in today’s rapid tranquilisation protocols

  • James Innes (a1) (a2) and Lynda Iyeke (a3) (a2)
Abstract
Abstract

Background: Rapid tranquilisation (RT) is one of the highest risk clinical procedures currently undertaken by mental health services, yet it is underpinned by a surprisingly weak evidence base. The evidence base is weaker still when applied to post RT monitoring.

Aims: To review current clinical monitoring practice contained within adult RT documents in the UK.

Method: A review of adult RT documents currently in use in NHS or HSC trusts providing adult mental health services in the UK.

Findings: A total of 44 RT documents were examined. A picture of wide ranging practice was observed that prevented us from undertaking a full analysis of the data collected. Even when analysis was confined to the intramuscular route, there were concerning differences between documents in: when monitoring was initiated; what was being monitored; and the frequency and duration of this monitoring.

Conclusions and implications for clinical practice: There is a fundamental need for consensus in this high risk practice. The College of Mental Health Pharmacists, Royal College of Nursing and Royal College of Psychiatrists should have a key role in fashioning this consensus in both practice and policy.

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Copyright
Corresponding author
Correspondence to: Mr James Innes, Mile End Hospital, Bancroft Rd, London, E1 4DG. E-mail: james.innes@eastlondon.nhs.uk
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A.P. Beelen , K.T.J. Yeo and L.D. Lewis (2001) Asymptomatic QTc prolongation associated with quetiapine fumarate overdose in a patient being treated with risperidone. Human and Experimental Toxicology. 20(4): 215219.

K. Hatta , T. Takahashi , H. Nakamura , H. Yamashiro and Y. Yonezawa (2000) Prolonged QT interval in acute psychotic patients. Psychiatry Research. 94(3): 279285.

R. Macpherson , R. Dix and S. Morgan (2005) A growing evidence base for management guidelines. Revisiting guidelines for the management of acutely disturbed psychiatric patients. Advances in Psychiatric Treatment. 11: 404415.

C. Paton , T. Barnes , M.R. Cavanagh , D. Taylor and P. Lelliott (2008) High dose and combination antipsychotic prescribing in acute adult wards in the UK: the challenges posed by p.r.n. prescribing. British Journal of Psychiatry. 192: 435439.

W.A. Ray , C.P. Chung , K.T. Murray , K. Hall and M. Stein (2009) Atypical antipsychotic drugs and the risk of sudden cardiac death. New England Journal of Medicine. 360: 225235.

D.M. Taylor (2003) Antipsychotics and QT prolongation. Acta Psychiatrica Scandinavica. 107: 8595.

B. Trojak , K. Astruc , J.M. Pinoit , J.C. Chauvet-Geliner , E. Ponavoy , B. Bonin and A. Gisselmann (2009) Hypokalaemia is associated with lengthening of QT interval in psychiatric patients on admission. Psychiatry Research. 169(3): 257260.

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Journal of Psychiatric Intensive Care
  • ISSN: 1742-6464
  • EISSN: 1744-2206
  • URL: /core/journals/journal-of-psychiatric-intensive-care
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