<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2216-0973</journal-id>
<journal-title><![CDATA[Revista Cuidarte]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuid]]></abbrev-journal-title>
<issn>2216-0973</issn>
<publisher>
<publisher-name><![CDATA[Programa de Enfermería, Facultad de Ciencias de la Salud, Universidad de Santander UDES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2216-09732020000300501</article-id>
<article-id pub-id-type="doi">10.15649/cuidarte.1319</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfermería de urgencias en la intubación de secuencia rápida a pacientes COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Emergency Nursing Care for Rapid Sequence Intubation in COVID-19 Patients]]></article-title>
<article-title xml:lang="pt"><![CDATA[Cuidados de enfermagem de emergência para intubação de sequência rápida em pacientes com COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gamboa]]></surname>
<given-names><![CDATA[Fanny Esperanza Acevedo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrozo]]></surname>
<given-names><![CDATA[Mansur Páez]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camargo]]></surname>
<given-names><![CDATA[Viviana Lizeth Mayorga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Javeriana Departamento de Enfermería Clínica ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación Santafé de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Ignacio  Bogotá]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>11</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2216-09732020000300501&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2216-09732020000300501&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2216-09732020000300501&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción  La inducción de secuencia rápida modificada es la sugerida para la intubación orotraqueal a pacientes COVID-19 que presentan distrés respiratorio en urgencias. El objetivo de esta revisión es plantear el proceso de atención de enfermería durante las fases de planificación, preparación, pretratamiento y sedación con parálisis neuromuscular.  Materiales y Métodos  artículo de reflexión acerca de elementos conceptuales en la valoración, diagnóstico, planeación, ejecución y evaluación del cuidado de enfermería, a partir de la revisión de literatura de consensos y protocolos nacionales e internacionales y publicaciones de cuidado de enfermería a pacientes COVID-19.  Resultados  los medicamentos recomendados por la literatura en la inducción de secuencia rápida a pacientes COVID-19 son: en la fase de pretratamiento, las benzodiacepinas necesarias para disminuir la ansiedad del paciente, la lidocaína que controla el reflejo de la tos y el fentanilo que contribuye con la analgesia; en la fase de sedación inductores como etomidato y ketamina están indicados en pacientes con inestabilidad hemodinámica y propofol en pacientes estables; en la fase de parálisis neuromuscular el rocuronio es el recomendado como primera opción antes que la succinilcolina y los vasopresores tipo norepinefrina, epinefrina, vasopresina y/o dopamina, son necesarios en todas las fases para el manejo de la inestabilidad hemodinámica.  Conclusiones  aplicar el proceso de atención de enfermería durante las fases de inducción de secuencia rápida contribuye con la organización de los medicamentos requeridos para la intubación orotraqueal, lo cual, disminuye la ansiedad del paciente y el riesgo de contaminación del personal de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction  Modified rapid sequence induction is suggested for orotracheal intubation in COVID-19 patients with respiratory distress in the emergency department. The objective of this review is to discuss nursing care during the phases of planning, preparation, pretreatment and sedation with neuromuscular paralysis.  Materials and Methods  A reflection article was written on conceptual elements in nursing care assessment, diagnosis, planning, implementation and evaluation based on the literature review of national and international standards and protocols, and publications on nursing care in COVID-19 patients.  Results  Drugs recommended by rapid sequence intubation in COVID-19 patients are benzodiazepine for reducing patient&#8217;s anxiety, lidocaine for cough control and fentanyl for analgesia in the pretreatment phase; inducers such as etomidate and ketamine are suggested in hemodynamic unstable patients and propofol in stable patients in the sedation phase; rocuronium is recommended as the first-choice neuromuscular blocking agent before vasopressors such as succinylcholine and norepinephrine, epinephrine, vasopressin and/or dopamine which are needed in all phases for managing hemodynamic instability.  Conclusions  Applying a nursing care plan during rapid sequence induction phases contributes to a more organized medication regimen required for orotracheal intubation, which reduces patient&#8217;s anxiety and the risk of contamination for healthcare personnel.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução  A indução de sequência rápida modificada é sugerida para intubação orotraqueal em pacientes com COVID-19 com problemas respiratórios no departamento de emergência. O objetivo desta revisão é discutir os cuidados de enfermagem durante as fases de planejamento, preparação, pré-tratamento e sedação com paralisia neuromuscular.  Materiais e métodos  Um artigo de reflexão foi elaborado sobre elementos conceituais na avaliação, diagnóstico, planejamento, implementação e avaliação da cuidados de enfermagem com base na revisão da literatura de normas e protocolos nacionais e internacionais, e publicações sobre cuidados de enfermagem em pacientes com COVID-19.  Resultados  As drogas recomendadas pela intubação de sequência rápida em pacientes com COVID-19 são benzodiazepinas para reduzir a ansiedade do paciente, lidocaína para controle da tosse e fentanil para analgesia na fase de pré-tratamento; indutores como etomidato e cetamina são sugeridos em pacientes com instabilidade hemodinâmica e propofol em pacientes estáveis na fase de sedação; o rocurônio é recomendado como o bloqueador neuromuscular de primeira opção frente a vasopressores como succinilcolina e norepinefrina, epinefrina, vasopressina e/ou dopamina, que são necessários em todas as fases para o manejo da instabilidade hemodinâmica.  Conclusões  A aplicação de um plano de cuidados de enfermagem durante as fases de indução de sequência rápida contribui para a organização dos medicamentos necessários para a intubação orotraqueal, o que reduz a ansiedade do paciente e o risco de contaminação para o pessoal de saúde.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Intubación e Induccion de Secuencia Rápida]]></kwd>
<kwd lng="es"><![CDATA[Enfermería]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Críticos]]></kwd>
<kwd lng="es"><![CDATA[Infecciones por Coronavirus]]></kwd>
<kwd lng="es"><![CDATA[Urgencias Médicas]]></kwd>
<kwd lng="en"><![CDATA[Rapid Sequence Intubation and Induction]]></kwd>
<kwd lng="en"><![CDATA[Nursing]]></kwd>
<kwd lng="en"><![CDATA[Critical Care]]></kwd>
<kwd lng="en"><![CDATA[Coronavirus Infections]]></kwd>
<kwd lng="en"><![CDATA[Medical Emergencies]]></kwd>
<kwd lng="pt"><![CDATA[Intubação e Indução de Sequência Rápida]]></kwd>
<kwd lng="pt"><![CDATA[Enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados Críticos]]></kwd>
<kwd lng="pt"><![CDATA[Infecções por Coronavírus]]></kwd>
<kwd lng="pt"><![CDATA[Emergências Médicas]]></kwd>
</kwd-group>
</article-meta>
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