Protocolo para padronização da ronda diária da equipe multidisciplinar em Unidade de Terapia Intensiva: Revisão narrativa

Abstract

The Intensive Care Unit is an environment for the maintenance of life and health recovery, where it uses increasingly complex interventions, increasing the chances of errors and adverse events, exposing the patient's safety at risk. This narrative review aimed to assess whether the protocol studies used in daily rounds in Intensive Care Units by a multidisciplinary team assess the patient holistically; Check whether the protocols are already implemented in the Intensive Care Unit are validated; Highlight whether the protocols for daily rounds in the ICU are used by a multidisciplinary team; Identify the items that make up the daily patrol protocols. A search was performed by ECR, without the use of filters by language and year of publication in five databases PUBMED, Scielo, Medline, LILACS and Google Academic of multidisciplinary daily rounds protocol studies in ICU, it is necessary to expand the types of studies due to the scarcity of studies in the research profile. A total of 2082 articles were reviewed, and 03 publications were eligible referring to ECR, ECNR and Cohort. Among the articles analyzed, all were applied in multidisciplinary visits at the bedside in the ICU, however, there were no similarities in the items that made up the protocols because two were elaborated according to the local reality and one was applied only in the presence of delirium, there were also divergences in the study outcomes. No information about their implementation was observed. Thus, from the results found, it can be inferred that there are significant differences between the items that make up the protocols for daily rounds at the bedside in the ICU, with no standardization. These are studies that do not mention suggestions for the implementation of these protocols and only emphasize their validation, recognizing that there is a need for more research on the subject.