Español (pdf)
Articulo en XML
Referencias del artículo
Traducción automática
Enviar articulo por email
Citado por SciELO 
Similares en
SciELO 
uBio 
Permalink
Revista Arbitrada Interdisciplinaria de Ciencias de la Salud. Salud y Vida
versión On-line ISSN 2610-8038
Resumen
INCA-BRAVO, Nancy del Pilar; HURTADO-NANDAR, Cristina Evangelina; PARRA-CHAVEZ, María Cecilia y FIGUERA-AVILA, Paolina Antonieta. Nursing role in the management and care of sedation and analgesia in critical patients. Salud y Vida [online]. 2025, vol.9, n.18, pp.59-76. Epub 05-Oct-2025. ISSN 2610-8038. https://doi.org/10.35381/s.v.v9i18.4588.
Introduction:
Adequate management of sedoanalgesia in critically ill patients represents a challenge for nursing due to complications associated with under and over-sedation. Objective: To identify pharmacological principles, evaluate assessment scales, and describe specific nursing interventions in sedoanalgesia management in critically ill patients. Methods: A systematic review was conducted following PRISMA guidelines. Twenty-nine studies selected from 857 records identified in databases (MEDLINE, CINAHL, Scopus, SciELO, LILACS) published between 2018-2025 were analyzed.
Results:
"Analgesia-first" protocols and dynamic sedation were identified as optimal practices. RASS and CPOT scales demonstrated better psychometric properties (κ=0.80-0.91). Nurse-led protocols reduced mechanical ventilation time (2.5 days less, p<0.01), ICU stay (3.2 days less) and delirium incidence (19.4% reduction, p<0.001).
Conclusions:
The nursing role is decisive in sedoanalgesia effectiveness.
Palabras clave : Critical care; nursing; assessment scales; protocols; sedoanalgesia..
