• Verónica Rojas, Carlos Romero, Daniel Tobar, Evelyn Alvarez, Rolando Aranda, Guillermo Bugedo, Marcial Cariqueo, M Idalia Sepúlveda, Juan Eduardo Sánchez, and Eduardo Tobar.
• Departamento de Medicina Interna, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
• Rev Med Chil. 2021 Jun 1; 149 (6): 864-872.

BackgroundThe 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).AimTo know the practices about analgesia, sedation, delirium, and neuromuscular blockade use among healthcare professionals working in adult ICUs in Chile.Material And MethodsAn electronic survey was sent to 812 professionals working in ICUs using a previously published instrument, which was adapted and authorized by the author.ResultsWe 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.ConclusionsThere 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.

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