title: [Mechanical restraint: its use in intensive cares].
abstract: OBJECTIVE
  To analyze the impact of the use of mechanical restraint (MR) or physical restraints in a Critical Care unit and to evaluate the procedure.
  
  
  METHODS
  A descriptive, prospective study.
  
  
  METHODS
  patients who required MR from March to June 2010.
  
  
  METHODS
  demographic, clinical presentation, indications, techniques and devices. A statistical analysis with mean, standard deviation and percentages using the program SPSS 14.0.
  
  
  RESULTS
  A total of 85 cases were studied: 65.9% male, mean age 64.19 (±17.9), NEMS 29.3 (±8.2). Incidence of MR: 15.6%. Main indication for MR: Risk of serious disruption of treatment processes (80%). Decision nurse (94.1%). Urgent action: (85.9%). Registration procedure: 57.6%. Information to the family: 9.4%. Previous actions: verbal containment (100%), pharmacological (48.2%).
  
  
  CONCLUSIONS
  There is a relevant incidence of MR. The principal reason is that of avoiding interruption of the therapeutic process. The nurse makes the initial decision. Necessary information/training of professionals for legal and ethical repercussions is needed.
authors.affiliation: Unidad de Críticos II, Servicio de Medicina Intensiva, Hospital Clínico San Carlos, (HCSC), Madrid, España. tayrailf_3@yahoo.es
authors.forename: V
authors.initials: V
authors.lastname: Martín Iglesias
authors.forename: C
authors.initials: C
authors.lastname: Pontón Soriano
authors.forename: M T
authors.initials: MT
authors.lastname: Quintián Guerra
authors.forename: T R
authors.initials: TR
authors.lastname: Velasco Sanz
authors.forename: M R
authors.initials: MR
authors.lastname: Merino Martínez
authors.forename: M J
authors.initials: MJ
authors.lastname: Simón García
authors.forename: J A
authors.initials: JA
authors.lastname: González Sánchez
mesh_terms: D003422:Critical Care / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011996:Records; D012149:Restraint, Physical / Q000706:statistics & numerical data*