Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile / Analgesia, sedation, neuromuscular blockade and delirium management practices in Chilean intensive care units
Rev. méd. Chile
;
149(6): 864-872, jun. 2021. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-1389539
ABSTRACT
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 andMethods:
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Neuromuscular Blockade
/
Delirium
/
Analgesia
Type of study:
Practice guideline
Limits:
Adult
/
Humans
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2021
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital San Juan de Dios/CL
/
Pontificia Universidad Católica de Chile/CL
/
Universidad Finis Terrae/CL
/
Universidad de Chile/CL
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