Listas de chequeo de la Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.) para el manejo de eventos críticos en salas de cirugía: traducción y actualización basada en la evidencia

Abstract

IntroductionIntraoperative critical events are rare situations and their management in some occasions may be inaccurate or not done in time. ObjectiveTo translate and update checklists for the management of critical events in the operating room developed by Adriadne Labs, based on secondary clinical evidence. Materials and methodsFor the translation and update of checklists, we followed the recommendations of Adriadne Labs for the modification of the checklists according to a systematic methodology divided in steps: 1)translation of the original checklists; 2)systematic research of the literature; 3)evaluation and selection of the evidence; 4)adaptation of the checklist for the management of local anesthetic toxicity; 5)changes, subtractions, and additions to the translated lists, and 6)diagramming of the checklists. ResultsWe translated to Spanish the 12 original checklists and adapted a new checklist for the management of local anesthetic systemic toxicity. As a result of the systematic research of the literature, we retrieved 1.407 references and selected 7 papers that were used to update the new checklists based on evidence. The new checklists were diagrammed according to the recommendations of design of the original lists. ConclusionTwelve checklists were translated and updated and a new one for the management of local anesthetic systemic toxicity was adapted based on a systematic review of the literature.