• M García-Sánchez, J Caballero-López, I Ceniceros-Rozalén, C Giménez-Esparza Vich, M A Romera-Ortega, C Pardo-Rey, T Muñoz-Martínez, D Escudero, H Torrado, C Chamorro-Jambrina, E Palencia-Herrejón, and miembros del GTSAD.
• Hospital Virgen Macarena, Sevilla, España. Electronic address: manuelagarcisan@hotmail.com.
• Med Intensiva. 2019 May 1; 43 (4): 225-233.

ObjectiveTo know the real clinical practice of Spanish ICUs in relation to analgesia, sedation and delirium, with a view to assessing adherence to current recommendations.DesignA descriptive cross-sectional study was carried out based on a national survey on analgesia, sedation and delirium practices in patients admitted to intensive care on 16 November, 2013 and 16 October, 2014. An on-line questionnaire was sent with the endorsement of the SEMICYUC.SettingSpanish ICUs in public and private hospitals.ResultsA total of 166 ICUs participated, with the inclusion of 1567 patients. The results showed that 61.4% of the ICUs had a sedation protocol, and 75% regularly monitored sedation and agitation - the RASS being the most frequently used scale. Pain was monitored in about half of the ICUs, but the behavioral scales were very little used. Delirium monitoring was implemented in few ICUs. Among the patients on mechanical ventilation, midazolam remained a very commonly used agent.ConclusionsThis survey is the first conducted in Spain on the practices of analgesia, sedation and delirium. We identified specific targets for quality improvement, particularly concerning the management of sedation and the assessment of delirium.Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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