[Analgesia, sedation, neuromuscular blockade and delirium management practices in Chilean intensive care units]. / Prácticas nacionales de analgesia, sedación y delirium en las Unidades de Cuidados Intensivos de adultos en Chile.
Rev Med Chil
; 149(6): 864-872, 2021 Jun.
Article
em Es
| MEDLINE
| ID: mdl-34751345
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Bloqueio Neuromuscular
/
Delírio
/
Analgesia
Idioma:
Es
Ano de publicação:
2021
Tipo de documento:
Article