Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile

Background: The appropriate use of analgesia, sedation, neuromuscular blockade and the diagnosis and prevention of delirium (ASBD) are associated with better outcomes in critically ill patients at Intensive Care Unit (ICUs). Aim: To know the practices about analgesia, sedation, delirium, and neuro...

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Autores principales:	Rojas,Verónica, Romero,Carlos, Tobar,Daniel, Alvarez,Evelyn, Aranda,Rolando, Bugedo,Guillermo, Cariqueo,Marcial, Sepúlveda,M. Idalia, Sánchez,Juan Eduardo, Tobar,Eduardo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2021
Materias:	Critical Care Delirium Hypnotics and Sedatives Neuromuscular Blockade
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000600864
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spelling	oai:scielo:S0034-988720210006008642021-11-03Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en ChileRojas,VerónicaRomero,CarlosTobar,DanielAlvarez,EvelynAranda,RolandoBugedo,GuillermoCariqueo,MarcialSepúlveda,M. IdaliaSánchez,Juan EduardoTobar,Eduardo Critical Care Delirium Hypnotics and Sedatives Neuromuscular Blockade Background: The appropriate use of analgesia, sedation, neuromuscular blockade and the diagnosis and prevention of delirium (ASBD) are associated with better outcomes in critically ill patients at Intensive Care Unit (ICUs). Aim: To know the practices about analgesia, sedation, delirium, and neuromuscular blockade use among healthcare professionals working in adult ICUs in Chile. Material and Methods: An electronic survey was sent to 812 professionals working in ICUs using a previously published instrument, which was adapted and authorized by the author. Results: We received 278 surveys. Fifty two percent of respondents were physicians, 34% nurses and 11% physical therapists. Their age ranged between 30 and 39 years in 43% and was over 50 years in 9%. Eighty four percent evaluated pain routinely, but only 26% use a validated scale. Sedation was routinely evaluated with a validated scale and 73% referred to have a protocol. Neuromuscular block is seldom used, and little monitoring occurs (43%). Delirium is routinely evaluated by 48% of respondents, usually using the CAM-ICU scale. Conclusions: There is a heterogeneous adherence to the ASBD recommended practices. The main gaps are in the assessment of pain, monitoring of neuromuscular blockade and diagnosis of delirium through validated instruments.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.6 20212021-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000600864es10.4067/s0034-98872021000600864
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Critical Care Delirium Hypnotics and Sedatives Neuromuscular Blockade
spellingShingle	Critical Care Delirium Hypnotics and Sedatives Neuromuscular Blockade Rojas,Verónica Romero,Carlos Tobar,Daniel Alvarez,Evelyn Aranda,Rolando Bugedo,Guillermo Cariqueo,Marcial Sepúlveda,M. Idalia Sánchez,Juan Eduardo Tobar,Eduardo Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile
description	Background: The appropriate use of analgesia, sedation, neuromuscular blockade and the diagnosis and prevention of delirium (ASBD) are associated with better outcomes in critically ill patients at Intensive Care Unit (ICUs). Aim: To know the practices about analgesia, sedation, delirium, and neuromuscular blockade use among healthcare professionals working in adult ICUs in Chile. Material and Methods: An electronic survey was sent to 812 professionals working in ICUs using a previously published instrument, which was adapted and authorized by the author. Results: We received 278 surveys. Fifty two percent of respondents were physicians, 34% nurses and 11% physical therapists. Their age ranged between 30 and 39 years in 43% and was over 50 years in 9%. Eighty four percent evaluated pain routinely, but only 26% use a validated scale. Sedation was routinely evaluated with a validated scale and 73% referred to have a protocol. Neuromuscular block is seldom used, and little monitoring occurs (43%). Delirium is routinely evaluated by 48% of respondents, usually using the CAM-ICU scale. Conclusions: There is a heterogeneous adherence to the ASBD recommended practices. The main gaps are in the assessment of pain, monitoring of neuromuscular blockade and diagnosis of delirium through validated instruments.
author	Rojas,Verónica Romero,Carlos Tobar,Daniel Alvarez,Evelyn Aranda,Rolando Bugedo,Guillermo Cariqueo,Marcial Sepúlveda,M. Idalia Sánchez,Juan Eduardo Tobar,Eduardo
author_facet	Rojas,Verónica Romero,Carlos Tobar,Daniel Alvarez,Evelyn Aranda,Rolando Bugedo,Guillermo Cariqueo,Marcial Sepúlveda,M. Idalia Sánchez,Juan Eduardo Tobar,Eduardo
author_sort	Rojas,Verónica
title	Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile
title_short	Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile
title_full	Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile
title_fullStr	Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile
title_full_unstemmed	Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile
title_sort	prácticas nacionales de analgesia, sedación y delirium en las unidades de cuidados intensivos de adultos en chile
publisher	Sociedad Médica de Santiago
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000600864
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Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile

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