Abstract

CARRILLO ESPER, Raúl et al. Eye protection in patients admitted to the Intensive Care Unit: A proposal for improving quality and safety. Rev. Asoc. Mex. Med. Crít. Ter. Intensiva [online]. 2016, vol.30, n.1, pp.17-24. ISSN 0187-8433.

Introduction: Eye care is one of the essential interventions of health staff in the Intensive Care Unit (ICU), easy to perform, and with great impact on the evolution of patients. Today is recognized as an essential and effective care in intensive care units to prevent eye complications. Unfortunately there is little evidence available to determine and compare the effectiveness of different strategies for protection, so there is little availability of evidence-based guidelines for eye care. In most intensive care units no eye protection strategies are performed. The aim of this paper is to analyze the fundamentals related to establish a standardized strategy to increase the quality of care of patients admitted to the Intensive Care Unit to avoid eye complications. Material and methods: The literature search was performed using IMBIOMED seekers, PubMed, EMBASE. They were classified and used 26 items in total, according to the evidence of eye protection procedure developed in the ICU, which was validated and approved by the Medica Sur committees of Ethics and quality. The procedure was applied to 109 patients by identifying your income in three cases superficial corneal injury. We trained the total assigned to the ICU staff. A survey of satisfaction with the procedure was performed. Results: I was able to develop and implement the procedure in the ICU eye protection that was approved by the ethics committee and quality of health south. Since its implementation the procedure was applied to 109 patients. Three patients developed corneal lesions prior admission to the ICU. We trained medical and nursing staff to 100%. 93% of straff considered completely satisfied with the procedure, considering that it useful and should apply to all critical units. Conclusions: Eye protection procedure in the ICU is a fundamental strategy to optimize the quality and security. With great acceptance by staff and a very small learning curve. With the monitoring of the procedure over time is expected to reduce to 0% the development of lesions of the ocular surface in the critical ill patients.

Keywords : Eye protection; surface corneal injury; Intensive Care Unit.

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