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Guía Latinoamericana de Práctica Clínica para el abordaje de la hemorragia masiva en el enfermo paliativo en situación de terminalidad.

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Title: Guía Latinoamericana de Práctica Clínica para el abordaje de la hemorragia masiva en el enfermo paliativo en situación de terminalidad.
Authors: Covarrubias-Gómez, Alfredo1,2, Otero-Lamas, Margarita2, Templos-Esteban, Luz A.2,3, Mutto, Eduardo M., Mariaca-Ramírez, Marilú, García, João B. S., Rodríguez-Núñez, Alfredo, Gomezese, Omar, Vargas-Bermúdez, Alejandro, Hinojosa, Maritza, López-Saca, Mario, Ramos-Del Cid, Zamara, Velásquez, Tulio, Riveros, Miriam, Garibaldo, Mario J., Camacho, Galo, Martínez, Bethania, Sejías, María E.
Source: Revista Mexicana de Anestesiología. oct-dic2018, Vol. 41 Issue 4, p301-311. 11p. 1 Diagram, 6 Charts.
Abstract (English): Background: Palliative care in Latin America is developing heterogeneously. This inequality makes it necessary to establish groups that would provide accessible information to doctors in Latin America. Considering the last days of life there are medical situations that may require urgent attention. Among the emergencies at the end of life we identify that «lethal hemorrhage» was the most reported. Material and methods: Given the importance of «lethal hemorrhage» as a medical emergency in the last hours of life, we set the clíniobjective to investigate the available medical literature on the subject. To search we used the PubMed search engine. The identified documents were downloaded and shared by two researchers. This information was summarized and presented to a group of prominent and proven Latin American experts on palliative medicine (DOSS Group). Results: As described in the methodology we identified 34 documents with different levels of evidence. We had access to 27 documents. The information obtained from them is presented in the form of a clinical practice guide. Conclusions: Several authors consider massive hemorrhage as a palliative emergency. Its occurrence may even require endof-life sedation. It is necessary that clinicians have information that may help their decision making for the management of this medical condition. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes: Los cuidados paliativos en Latinoamérica se están desarrollando en forma heterogénea. Esta desigualdad hace necesario el establecimiento de grupos que faciliten la información a los médicos del continente. En el contexto de los últimos días de vida se presentan situaciones que requieren una atención urgente. Entre las urgencias al fi nal de la vida identificamos a la hemorragia masiva como la más reportada. Material y métodos: Dada la importancia de la «hemorragia letal» como urgencia médica en las últimas horas de vida, nos propusimos el objetivo de investigar el conocimiento médico sobre el tema disponible en la literatura. Se utilizó el buscador PubMed de la Unión Americana. Los documentos identificados fueron descargados y compartidos por dos investigadores. Esta información se resumió y se consensuó con un grupo de expertos latinoamericanos destacados y probos (Grupo DOSS). Resultados: Con los criterios de búsqueda descritos en la metodología se obtuvieron 34 documentos con diversos niveles de evidencia. Se tuvo acceso a 27 documentos. La información obtenida de ellos se presenta en forma de guía de práctica clínica. Conclusiones: La hemorragia masiva es la urgencia paliativa en la que coinciden diversos autores. Su presentación puede incluso requerir sedación del fi nal de la vida. Es necesario que los clínicos cuenten con la información que ayude en su toma de decisiones. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background: Palliative care in Latin America is developing heterogeneously. This inequality makes it necessary to establish groups that would provide accessible information to doctors in Latin America. Considering the last days of life there are medical situations that may require urgent attention. Among the emergencies at the end of life we identify that «lethal hemorrhage» was the most reported. Material and methods: Given the importance of «lethal hemorrhage» as a medical emergency in the last hours of life, we set the clíniobjective to investigate the available medical literature on the subject. To search we used the PubMed search engine. The identified documents were downloaded and shared by two researchers. This information was summarized and presented to a group of prominent and proven Latin American experts on palliative medicine (DOSS Group). Results: As described in the methodology we identified 34 documents with different levels of evidence. We had access to 27 documents. The information obtained from them is presented in the form of a clinical practice guide. Conclusions: Several authors consider massive hemorrhage as a palliative emergency. Its occurrence may even require endof-life sedation. It is necessary that clinicians have information that may help their decision making for the management of this medical condition. [ABSTRACT FROM AUTHOR]
ISSN:04847903