Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients

E. Celis-Rodríguez; J. C. Díaz Cortés; Y. R. Cárdenas Bolívar; J. A. Carrizosa González; D. I. Pinilla; L. E. Ferrer Záccaro; C. Birchenall; J. Caballero López; B. M. Argüello; G. Castillo Abrego; G. Castorena Arellano; C. Dueñas Castell; J. M. Jáuregui Solórzano; R. Leal; J. M. Pardo Oviedo; M. Arroyo; F. Raffán-Sanabria; N. Raimondi; R. Reina; D. R. Rodríguez Lima; J. I. Silesky Jiménez; S. Ugarte Ubiergo; L. G. Gómez Escobar; D. P. Díaz Aya; C. Fowler; J. L. Nates

doi:10.1016/j.medin.2019.07.013

Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients

Título traducido de la contribución: Guías de práctica clínica basadas en la evidencia para el manejo de la sedoanalgesia y delirium en el paciente adulto críticamente enfermo

E. Celis-Rodríguez
, J. C. Díaz Cortés
, Y. R. Cárdenas Bolívar
, J. A. Carrizosa González
, D. I. Pinilla
, L. E. Ferrer Záccaro
, C. Birchenall
, J. Caballero López
, B. M. Argüello
, G. Castillo Abrego
, G. Castorena Arellano
, C. Dueñas Castell
, J. M. Jáuregui Solórzano
, R. Leal
, J. M. Pardo Oviedo
, M. Arroyo
, F. Raffán-Sanabria
, N. Raimondi
, R. Reina
, D. R. Rodríguez Lima

J. I. Silesky Jiménez, S. Ugarte Ubiergo, L. G. Gómez Escobar, D. P. Díaz Aya, C. Fowler, J. L. Nates

Escuela de Medicina y Ciencias de la Salud

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

67 Citas (Scopus)

Resumen

Guias de la Federacion Panamericana e Iberica de terapia Intensiva, sobre la analgesia, sedacion, bundle ABCDEF y prevencion y maejo de delirium en terapia intensiva, con guias basadas en evidencia
Dada la importancia del manejo de la sedación, analgesia y delirium en las unidades de cuidados intensivos, y con el fin de actualizar las guías publicadas anteriormente, se decidió elaborar una nueva guía de práctica clínica con los soportes, manejos e intervenciones más relevantes acordes con las publicaciones recientes. Para elaborar esta guía, se reunió un grupo de 24 intensivistas procedentes de 9 países de la Federación Panamericana e Ibérica de Sociedades de Medicina Crítica y Terapia Intensiva. Se acogió la propuesta del Grading of Recommendations Assessment, Development and Evaluation Working Group para emitir el grado de recomendación y evaluar la calidad de la evidencia. Se realizó una búsqueda sistemática de la literatura utilizándose: MEDLINE, las siguientes bases de datos de la biblioteca Cochrane: Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), Database of Abstracts of Reviews of Effects, National Health Service Economic Evaluation Database, y la base de datos de Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS). Finalmente, se seleccionaron 438 referencias, permitiendo realizar 47 recomendaciones fuertes con evidencia alta y moderada, 14 recomendaciones condicionales con evidencia moderada y 65 recomendaciones condicionales con evidencia baja. Se confirma la importancia del manejo inicial y multimodal del dolor, se hace énfasis en la disminución de los niveles de sedación y la utilización de sedación profunda solo en casos específicos. Aumenta la evidencia y recomendaciones para el uso de medicamentos como dexmedetomidina, remifentanil, ketamina, entre otros.

Título traducido de la contribución	Guías de práctica clínica basadas en la evidencia para el manejo de la sedoanalgesia y delirium en el paciente adulto críticamente enfermo
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	171-184
Número de páginas	14
Publicación	Medicina Intensiva
Volumen	44
N.º	3
Fecha en línea anticipada	nov. 21 2019
DOI	https://doi.org/10.1016/j.medin.2019.07.013
Estado	Publicada - abr. 2020

Áreas temáticas de ASJC Scopus

Cuidados y vigilancia intensivos

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10.1016/j.medin.2019.07.013

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Celis-Rodríguez, E., Díaz Cortés, J. C., Cárdenas Bolívar, Y. R., Carrizosa González, J. A., Pinilla, D. I., Ferrer Záccaro, L. E., Birchenall, C., Caballero López, J., Argüello, B. M., Castillo Abrego, G., Castorena Arellano, G., Dueñas Castell, C., Jáuregui Solórzano, J. M., Leal, R., Pardo Oviedo, J. M., Arroyo, M., Raffán-Sanabria, F., Raimondi, N., Reina, R., ... Nates, J. L. (2020). Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients. Medicina Intensiva, 44(3), 171-184. https://doi.org/10.1016/j.medin.2019.07.013

@article{f66e245fe1d74a51a03d42292183a9e4,

title = "Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients",

abstract = "Given the importance of the management of sedation, analgesia and delirium in Intensive Care Units, and in order to update the previously published guidelines, a new clinical practice guide is presented, addressing the most relevant management and intervention aspects based on the recent literature. A group of 24 intensivists from 9 countries of the Pan-American and Iberian Federation of Societies of Critical Medicine and Intensive Therapy met to develop the guidelines. Assessment of evidence quality and recommendations was made according to the Grading of Recommendations Assessment, Development and Evaluation Working Group. A systematic search of the literature was carried out using MEDLINE, Cochrane Library databases such as the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials (CENTRAL), the Database of Abstracts of Reviews of Effects, the National Health Service Economic Evaluation Database and the database of Latin American and Caribbean Literature in Health Sciences (LILACS). A total of 438 references were selected. After consensus, 47 strong recommendations with high and moderate quality evidence, 14 conditional recommendations with moderate quality evidence, and 65 conditional recommendations with low quality evidence were established. Finally, the importance of initial and multimodal pain management was underscored. Emphasis was placed on decreasing sedation levels and the use of deep sedation only in specific cases. The evidence and recommendations for the use of drugs such as dexmedetomidine, remifentanil, ketamine and others were incremented.",

author = "E. Celis-Rodr{\'i}guez and \{D{\'i}az Cort{\'e}s\}, \{J. C.\} and \{C{\'a}rdenas Bol{\'i}var\}, \{Y. R.\} and \{Carrizosa Gonz{\'a}lez\}, \{J. A.\} and Pinilla, \{D. I.\} and \{Ferrer Z{\'a}ccaro\}, \{L. E.\} and C. Birchenall and \{Caballero L{\'o}pez\}, J. and Arg{\"u}ello, \{B. M.\} and \{Castillo Abrego\}, G. and \{Castorena Arellano\}, G. and \{Due{\~n}as Castell\}, C. and \{J{\'a}uregui Sol{\'o}rzano\}, \{J. M.\} and R. Leal and \{Pardo Oviedo\}, \{J. M.\} and M. Arroyo and F. Raff{\'a}n-Sanabria and N. Raimondi and R. Reina and \{Rodr{\'i}guez Lima\}, \{D. R.\} and \{Silesky Jim{\'e}nez\}, \{J. I.\} and \{Ugarte Ubiergo\}, S. and \{G{\'o}mez Escobar\}, \{L. G.\} and \{D{\'i}az Aya\}, \{D. P.\} and C. Fowler and Nates, \{J. L.\}",

note = "Publisher Copyright: {\textcopyright} 2019 Elsevier Espa{\~n}a, S.L.U. y SEMICYUC",

year = "2020",

month = apr,

doi = "10.1016/j.medin.2019.07.013",

language = "English (US)",

volume = "44",

pages = "171--184",

journal = "Medicina Intensiva",

issn = "0210-5691",

publisher = "Ediciones Doyma, S.L.",

number = "3",

}

Celis-Rodríguez, E, Díaz Cortés, JC, Cárdenas Bolívar, YR, Carrizosa González, JA, Pinilla, DI, Ferrer Záccaro, LE, Birchenall, C, Caballero López, J, Argüello, BM, Castillo Abrego, G, Castorena Arellano, G, Dueñas Castell, C, Jáuregui Solórzano, JM, Leal, R, Pardo Oviedo, JM, Arroyo, M, Raffán-Sanabria, F, Raimondi, N, Reina, R, Rodríguez Lima, DR, Silesky Jiménez, JI, Ugarte Ubiergo, S, Gómez Escobar, LG, Díaz Aya, DP, Fowler, C & Nates, JL 2020, 'Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients', Medicina Intensiva, vol. 44, n.º 3, pp. 171-184. https://doi.org/10.1016/j.medin.2019.07.013

Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients. / Celis-Rodríguez, E.; Díaz Cortés, J. C.; Cárdenas Bolívar, Y. R. et al.
En: Medicina Intensiva, Vol. 44, N.º 3, 04.2020, p. 171-184.

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

TY - JOUR

T1 - Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients

AU - Celis-Rodríguez, E.

AU - Díaz Cortés, J. C.

AU - Cárdenas Bolívar, Y. R.

AU - Carrizosa González, J. A.

AU - Pinilla, D. I.

AU - Ferrer Záccaro, L. E.

AU - Birchenall, C.

AU - Caballero López, J.

AU - Argüello, B. M.

AU - Castillo Abrego, G.

AU - Castorena Arellano, G.

AU - Dueñas Castell, C.

AU - Jáuregui Solórzano, J. M.

AU - Leal, R.

AU - Pardo Oviedo, J. M.

AU - Arroyo, M.

AU - Raffán-Sanabria, F.

AU - Raimondi, N.

AU - Reina, R.

AU - Rodríguez Lima, D. R.

AU - Silesky Jiménez, J. I.

AU - Ugarte Ubiergo, S.

AU - Gómez Escobar, L. G.

AU - Díaz Aya, D. P.

AU - Fowler, C.

AU - Nates, J. L.

PY - 2020/4

Y1 - 2020/4

N2 - Given the importance of the management of sedation, analgesia and delirium in Intensive Care Units, and in order to update the previously published guidelines, a new clinical practice guide is presented, addressing the most relevant management and intervention aspects based on the recent literature. A group of 24 intensivists from 9 countries of the Pan-American and Iberian Federation of Societies of Critical Medicine and Intensive Therapy met to develop the guidelines. Assessment of evidence quality and recommendations was made according to the Grading of Recommendations Assessment, Development and Evaluation Working Group. A systematic search of the literature was carried out using MEDLINE, Cochrane Library databases such as the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials (CENTRAL), the Database of Abstracts of Reviews of Effects, the National Health Service Economic Evaluation Database and the database of Latin American and Caribbean Literature in Health Sciences (LILACS). A total of 438 references were selected. After consensus, 47 strong recommendations with high and moderate quality evidence, 14 conditional recommendations with moderate quality evidence, and 65 conditional recommendations with low quality evidence were established. Finally, the importance of initial and multimodal pain management was underscored. Emphasis was placed on decreasing sedation levels and the use of deep sedation only in specific cases. The evidence and recommendations for the use of drugs such as dexmedetomidine, remifentanil, ketamine and others were incremented.

AB - Given the importance of the management of sedation, analgesia and delirium in Intensive Care Units, and in order to update the previously published guidelines, a new clinical practice guide is presented, addressing the most relevant management and intervention aspects based on the recent literature. A group of 24 intensivists from 9 countries of the Pan-American and Iberian Federation of Societies of Critical Medicine and Intensive Therapy met to develop the guidelines. Assessment of evidence quality and recommendations was made according to the Grading of Recommendations Assessment, Development and Evaluation Working Group. A systematic search of the literature was carried out using MEDLINE, Cochrane Library databases such as the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials (CENTRAL), the Database of Abstracts of Reviews of Effects, the National Health Service Economic Evaluation Database and the database of Latin American and Caribbean Literature in Health Sciences (LILACS). A total of 438 references were selected. After consensus, 47 strong recommendations with high and moderate quality evidence, 14 conditional recommendations with moderate quality evidence, and 65 conditional recommendations with low quality evidence were established. Finally, the importance of initial and multimodal pain management was underscored. Emphasis was placed on decreasing sedation levels and the use of deep sedation only in specific cases. The evidence and recommendations for the use of drugs such as dexmedetomidine, remifentanil, ketamine and others were incremented.

UR - https://www.scopus.com/pages/publications/85071469575

UR - https://www.scopus.com/pages/publications/85071469575#tab=citedBy

U2 - 10.1016/j.medin.2019.07.013

DO - 10.1016/j.medin.2019.07.013

M3 - Research Article

C2 - 31492476

AN - SCOPUS:85071469575

SN - 0210-5691

VL - 44

SP - 171

EP - 184

JO - Medicina Intensiva

JF - Medicina Intensiva

IS - 3

ER -

Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients

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Áreas temáticas de ASJC Scopus

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