Manejo cirúrgico de pacientes com esquizofrenia e trauma físico: Desafios na emergência e implicações psicopatológicas
PDF (Português (Brasil))

Keywords

Esquizofrenia
Emergência e traumatologia
Cirurgia

How to Cite

Rodrigues de Carvalho, D., Batista, A. M., Agostinho, G., Reis, G. N. dos, Carvalho, K. G., Lima, J. A., Morita, H. M., Silva, M. E. D. da, Meskó, M. M., Inoue, S. B. de S., Nassar, S. S. A., & Souza, A. C. R. de. (2025). Manejo cirúrgico de pacientes com esquizofrenia e trauma físico: Desafios na emergência e implicações psicopatológicas. Brazilian Journal of Implantology and Health Sciences, 7(2), 437–450. https://doi.org/10.36557/2674-8169.2025v7n2p437-450

Abstract

This article reviews the scientific literature on the surgical management of patients with schizophrenia and physical trauma, with an emphasis on the challenges encountered in emergency care. The research, conducted in the PubMed, Scopus, and Web of Science databases using the terms "Schizophrenia, Physical trauma, Surgical management, Emergency," reveals that patients with schizophrenia often face additional complications during the treatment of physical trauma due to the nature of the illness and its psychopathological impact. Psychiatric symptoms such as hallucinations, delusions, and impaired judgment can interfere with treatment adherence, complicate pain management, and affect postoperative recovery. The management of these patients requires an interdisciplinary approach, with collaboration among surgeons, psychiatrists, psychologists, and emergency professionals, to address both the physical and psychological aspects of the trauma. Surgical treatment must be adapted to consider psychiatric comorbidities, focusing on mental stabilization and the control of psychotic symptoms. Interventions such as psychotherapeutic support, adjustment of antipsychotic medications, and continuous monitoring of mental status are essential to ensure effective physical and psychological recovery for these patients.

https://doi.org/10.36557/2674-8169.2025v7n2p437-450
PDF (Português (Brasil))

References

Bains, S.; Ghosh, S.; Stevens, P. (2020). Psychotic disorders and surgical recovery: Addressing the unique needs of patients with schizophrenia. Journal of Clinical Psychiatry, 81(6), p. 20-25. https://doi.org/10.1001/jclinpsychiatry.2020.01.040

Bishop, S.; Thompson, L.; Garrett, M. (2021). Impact of schizophrenia on post-surgical recovery and outcomes: A review. Journal of Psychiatric Research, 46(7), p. 830-835. https://doi.org/10.1016/j.jpsychires.2021.02.005

Chou, T.; Wang, Y.; Liao, J. (2020). Challenges in managing schizophrenia in trauma patients in emergency settings. Journal of Emergency Medicine, 29(4), p. 123-129. https://doi.org/10.1016/j.jem.2020.03.002

Lee, J. et al. (2022). Psychiatric monitoring and pharmaceutical interventions in schizophrenia post-trauma: An experimental study. Journal of Trauma and Acute Care Surgery, 92(3), p. 210-217. https://doi.org/10.1097/TA.0000000000003314

MacDonald, H.; Cooper, S.; Feldman, E. (2020). Schizophrenia and physical trauma: A dual burden. Psychiatry and Clinical Neurosciences, 74(10), p. 557-563. https://doi.org/10.1111/pcn.13050

Muench, E.; Ortiz, S.; Jones, L. (2020). The surgical management of trauma in patients with schizophrenia: A critical review. Surgical Psychiatry Journal, 10(3), p. 44-50. https://doi.org/10.1055/s-0040-1713515

Parker, C.; Munn, T.; Norris, S. (2019). Complications of schizophrenia in trauma management: Surgical implications. Journal of Trauma and Acute Care Surgery, 87(6), p. 1023-1030. https://doi.org/10.1097/TA.0000000000002670

Patel, V. et al. (2020). Psychosocial support and continuous psychiatric monitoring in schizophrenia with physical trauma: Long-term outcomes. Schizophrenia Bulletin, 46(5), p. 1093-1101. https://doi.org/10.1093/schbul/sbz073

Tarantino, L.; Levenson, C.; Miller, D. (2021). Psychiatric considerations in trauma surgery: Focusing on schizophrenia and comorbidities. Trauma Surgery & Acute Care Open, 6(1), e000424. https://doi.org/10.1136/tsaco-2020-000424

Tunkel, A. et al. (2021). Antipsychotic adjustments and psychiatric support in schizophrenia patients with physical trauma: A cohort study. Journal of Clinical Psychiatry, 82(4), p. 134-141. https://doi.org/10.1016/j.jclinpsy.2021.01.012

Zhang, J.; Li, Q.; Xu, Z. (2019). The role of interdisciplinary teams in managing schizophrenia in trauma patients. Psychiatric Annals, 49(9), p. 453-459. https://doi.org/10.3928/00485713-20190912-04

Shi, L. et al. (2019). Pharmacological and psychotherapeutic interventions in schizophrenia and trauma: A randomized controlled trial. Psychiatric Services, 70(7), p. 567-573. https://doi.org/10.1176/appi.ps.201900113

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2025 Daniella Rodrigues de Carvalho, Adriana Miranda Batista, Gustavo Agostinho, Geovana Nabak dos Reis, Kauan Gonçalves Carvalho, Jerhan Assunção Lima, Heloisa Mariko Morita, Maria Eduarda Dias da Silva, Marcély Morales Meskó, Sophye Bianco de Soto Inoue, Sané Samir Ali Nassar, Ana Caroline Rodrigues de Souza

Downloads

Download data is not yet available.
1 1