Evaluación del dolor y monitoreo del delirium en unidad de  cuidados intensivos: Revisión de alcance

Angie Catalina Corredor Navarro; Angela Maria Henao Castaño

Angie Catalina Corredor Navarro Universidad Nacional de Colombia, Facultad de Enfermería. Bogotá, Colombia https://orcid.org/0000-0002-4256-5275
Angela Maria Henao Castaño Universidad Nacional de Colombia, Facultad de Enfermería. Bogotá, Colombia https://orcid.org/0000-0003-4203-0016

Palabras clave: Dolor, Delirium, Unidad de cuidados intensivos

Key-words: Pain, Delirium, Intensive care unit

Resumen

Objetivo: Mapear las escalas en la evaluación del dolor y monitoreo del delirium en las unidades de cuidados intensivos. Metodología: Se desarrolló una revisión de alcance utilizando el descriptor MesH con términos como Pain, Delirium y Critical care unit. Se incluyó el booleano AND en las bases de datos BVS, SciELO, EBSCO Dissertations, PubMed, CINAHL y LILACS. Resultados: Se seleccionaron un total de 33 artículos, algunos enfocados en escalas usadas para la evaluación del dolor y monitoreo del delirium. Conclusiones: Para la evaluación del dolor y monitoreo del delirium se recomienda la utilización de escalas validadas, que midan objetivamente el dolor como CPOT, BPS, NRS y el delirium con CAM ICU, ICDSC en las unidades de cuidados intensivos, así como su aplicación de manera rutinaria tanto en reposo, durante los procedimientos y en diferentes horarios. Dar tratamiento farmacológico y no farmacológico.

Abstract

Objective: To map the scales for pain assessment and delirium monitoring in intensive care units. Methodology: A scoping review was developed using the MesH descriptor with terms such as Pain, Delirium and Critical care unit, and the boolean AND was included in the databases BVS, SciELO, EBSCO Dissertations, PubMed, CINAHL and LILACS. Results: A total of 33 articles were selected, some of them focused on scales used for pain assessment and delirium monitoring. Conclusions: For pain assessment and delirium monitoring, the use of validated scales that objectively measure pain such as CPOT, BPS, NRS and delirium with CAM ICU, ICDSC in intensive care units is recommended, as well as their routine application both at rest, during procedures and at different times. Provide pharmacological and non-pharmacological treatment.

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Evaluación del dolor y monitoreo del delirium en unidad de cuidados intensivos: Revisión de alcance

Pain assessment and delirium monitoring in intensive care unit: Scope Review

Resumen

Abstract

Bibliografía