Encuesta a urgenciólogos sobre el papel del laboratorio en el manejo de las intoxicaciones agudas

摘要: espanolObjetivo: Evaluar mediante una encuesta la percepcion que los facultativos atienden a pacientes intoxicados agudos tienen sobre el papel del laboratorio y conocer importancia subjetiva otorgan determinadas pruebas para realizar manejo clinico de las intoxicaciones agudas frecuentes. Metodo: La se dirigio urgenciologos trabajan en servicios urgencias (SU) dos hospitales con Unidades Toxicologia Clinica (UTC) medicos asistentes cursos formacion toxicologica. Se solicitaba: datos profesionales, grado atribuida diferentes etapas asistenciales, un maximo tres fundamentales cuidado 17 e indicar determinacion analitica basica no realizase su laboratorio. Resultados: Ochenta ocho encuestas consideraron validas, cuales 69 (78%) recogieron 19 (22%) 2 SU. etapa asistencial cual encuestados mayor al es diagnostica, independientemente grupo pertenecen (62% si SU 58% asistieron cursos). El mas relevante (p En todas demas analiticas son inespecificas. Conclusiones: Los corroboran finalidad principal toxicologia confirmacion impresion diagnostica funcion clinica paciente. EnglishObjective: To survey physicians who treat acute poisoning cases to determine their attitudes toward laboratory testing in these and also certain tests for the management of common poisonings. Methods: A questionnaire was sent working emergency departments hospitals with toxicology units attending training courses. Survey items asked about professional data; degree importance attached at different stages care process; which 3 respondents considered important scenarios; test they highly unavailable where worked. Results: Eighty-eight valid questionnaires were returned; them from courses room physicians. The both groups believed that most when being diagnosed; 62% department trainee expressed opinion. More be great (52% such vs 26% trainees, P GHB [gamma-hydroxybutyrate]; ecstasy). specific quantitative could detect cause named as first choice only smoke inhalation, case would measure carboxyhemoglobin concentration. Tests other poisonings nonspecific. Conclusions: surveyed confirmed purpose is confirm diagnosis suggested by patient�s symptoms.