5001Criterios para Considerar Sedación Paliativa. Una Revisión de Alcance
Resumen
La sedación paliativa implica la administración de fármacos para aliviar el sufrimiento incontrolable en individuos con enfermedades terminales. El objetivo del presente artículo es resumir los estudios que proporcionen directrices acerca de cuándo se debería contemplar la sedación paliativa en pacientes terminales. Se realizó una revisión de alcance con la metodología del Instituto Joanna Briggs para identificar guías de práctica clínica y revisiones sistemáticas relevantes. La búsqueda se realizó en MEDLINE (a través de PubMed), Epistemonikos, TRIP DATABASE, NICE, GIN International Network repositorios y páginas web de instituciones gubernamentales elaboradoras de guías de práctica clínica. Para el reporte se siguieron los lineamientos PRISMA. Se identificaron 334 publicaciones, de las que finalmente se incluyeron 19. La sedación paliativa se utiliza para el manejo de síntomas físicos o emocionales de carácter refractario. La terminalidad es un requisito indispensable para su uso. Las personas involucradas en la toma de decisiones incluyen el paciente, sus familiares y, un equipo especializado en cuidados paliativos. La valoración multidisciplinaria y la obtención de consentimiento son requisitos indispensables. La sedación paliativa puede ser una estrategia valiosa para aliviar el sufrimiento al final de la vida.
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Derechos de autor 2024 Sandra Marisol Soto Nole , Diana Carolina Lombeida Gaibor
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.