Información del artículo
Resumen
El uso de acrósticos que representen los diferentes pasos de un proceso puede mejorar el aprendizaje, la memorización y la velocidad de ejecución entre los pasos sucesivos que lo constituyen.
En el presente artículo se propone la herramienta «GASTELE UN DIA», para que sea usada como una lista de chequeo por el equipo clínico multidisciplinario que participa en el manejo del paciente críticamente enfermo facilitando un esquema mental ordenado para hacer un manejo seguro, oportuno, efectivo, eficiente y centrado en el paciente, reduciendo el riesgo atribuible a la atención.
La herramienta tiene en cuenta control Glicémico, Analgesia adecuada, Sedación por metas, identificación y manejo del delirium, Tromboprofilaxis, Elevación de la cabecera, Liberación de la ventilación mecánica, Evacuación intestinal, prevención y manejo de Úlceras asociadas a la dependencia, protección gástrica, esquema de Nutrición apropiado, vigilancia de Diuresis, retiro tempano de Invasiones y ajuste temprano de la terapia Antibiótica. Se hace una revisión de la evidencia para cada propuesta de manejo.
Palabras clave:
Protocolos clínicos
Cuidados críticos
Analgesia
Sedación
Respiración artificial
Abstract
The use of acrostics that represent the different steps of a process can improve learning, retention and speed of execution between the successive steps that make up the process.
This paper proposes the tool «GASTELE UN DIA», to be used as a checklist by the multidisciplinary clinical team involved in the management of a critically ill patient, facilitating an orderly mental scheme for safe, timely, effective, efficient and patient-centered management, reducing the attributable risk to care.
This tool takes into account Glycemic control, adequate Analgesia, goal Sedation, identification and management of delirium, Thromboprophylaxis, bedside Elevation, release of mechanical ventilation, bowel Evacuation, prevention and management of pressure Ulcers, gastric protection, appropriate Nutrition scheme, Diuresis monitoring, early withdrawal of Invasions and early adjustment of Antibiotic therapy. A review of the evidence is conducted for each management proposal.
Keywords:
Clinical protocol
Critical care
Analgesia
Sedation
Artificial respiration
Artículo
Opciones para acceder a los textos completos de la publicación Acta Colombiana de Cuidado Intensivo
Suscriptor
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