«GASTELE UN DIA» a su paciente críticamente enfermo. Lista de chequeo en español para la atención de calidad en cuidado intensivo

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.