Recomendaciones de «No hacer» en el tratamiento de los pacientes críticos de los Comités Científicos de la Sociedad Colombiana de Medicina Crítica y Cuidados Intensivos (AMCI)
Victor Hugo Nieto Estrada , Bladimir Alejandro Gil Valencia , Manuel Garay-Fernandez , Francisco José Molina Saldarriaga , Rubén Dario Camargo Rubio , Carmelo Dueñas Castell , Camilo Pizarro Gómez , Fernando José Pereira Paternina , Peter Vergara Ramírez , Jorge Armando Carrizosa González , Daniel Leonardo Molano Franco , Ever Leonardo Rojas Díaz , Diana Patricia Borre Naranjo , Liliana Paola Correa Pérez , Carmen Lorena Gómez Vanegas , Martha Liliana Sánchez Lozano , Camilo Andrés Bello Muñoz , Erick Alexander Borja Large , Sandra Ximena Olaya Garay , Juan David Uribe Molano , Angelica Lizarazo
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引用次数: 0
Abstract
The Colombian Association of Critical Medicine and Intensive Care (AMCI) has initiated a project to identify and reduce unnecessary interventions in Intensive Care Units (ICU) to optimize resource use, minimize patient risks, and improve clinical outcomes. Led by AMCI, scientific committee leaders reviewed updated scientific evidence and best clinical practices to develop a series of “Do Not Do” recommendations. These recommendations were based on formal consensus using the Delphi technique to avoid routine procedures and behaviors that provide no value or could harm critically ill patients. The recommendations were developed with specific PICO questions by each committee and underwent a systematic literature review. A digital questionnaire was created, allowing anonymous voting, and a consensus of over 75% was achieved for all recommendations. The five most voted recommendations from the Patient Safety, Sepsis, MEGAN, Interdisciplinary Rehabilitation and Mental Health, and Critical Pneumology committees were selected to be part of the national Choosing Wisely strategy, aiming to promote resource optimization and improve the quality of care in Colombian ICUs. These recommendations are key to reducing unnecessary interventions and improving ICU care standards.