2014年10月15日 · Pain is experienced by many critically ill patients. Although the patient’s self-report represents the gold-standard measure for pain, many patients are unable to communicate in the ICU. In this commentary, we discuss the study findings comparing three objective scales for the assessment of pain in non-verbal patients and the importance of the tool selection process.

2008年5月14日 · The Adult Nonverbal Pain Scale is a modification of the FLACC scale and was developed for use in adult, non-communicative patients. It evaluates five parameters: face, activity, guarding, physiologic I (vital signs), and physiologic II (skin and pupils).

2014年7月25日 · Introduction Pain assessment is associated with important outcomes in ICU patients but remains challenging, particularly in non-communicative patients. Use of a reliable tool is paramount to allow any implementation of sedation/analgesia protocols in a multidisciplinary team. This study compared psychometric properties (inter-rater agreement primarily; validity, …

2021年4月13日 · Background Pain assessment in brain-injured patients in the intensive care unit (ICU) is challenging and existing scales may not be representative of behavioral reactions expressed by this specific group. This study aimed to validate the French-Canadian and English revised versions of the Critical-Care Pain Observation Tool (CPOT-Neuro) for brain-injured …

2008年2月16日 · Background Pain in critically ill patients in the intensive care unit (ICU) is common. However, pain assessment in critically ill patients often is complicated because these patients are unable to communicate effectively. Therefore, we designed a study (a) to determine the inter-rater reliability of the Numerical Rating Scale (NRS) and the Behavioral Pain Scale …

2019年6月6日 · pain should be guided by routine pain assessment of Nonverbal Pain Scale. Nurses assessed the depth of sed-ation, indicating the prevalent Richmond Agitation Sed-ation Scale (RASS) in their work shift. Analgesia and sedation protocol was to keep patients deeply sedated during the first few days of ECMO followed by inter-

2019年7月9日 · Background Sufentanil is commonly used for analgesia and sedation during extracorporeal membrane oxygenation (ECMO). Both ECMO and the pathophysiological changes derived from critical illness have significant effects on the pharmacokinetics (PK) of drugs, yet reports of ECMO and sufentanil PK are scarce. Here, we aimed to develop a population PK …

2016年10月19日 · Background Ventilator-dependent patients in the ICU often experience difficulties with one of the most basic human functions, namely communication, due to intubation. Although various assistive communication tools exist, these are infrequently used in ICU patients. We summarized the current evidence on communication methods with mechanically ventilated …

2019年3月9日 · Pain management. Considering that 15–40% [5, 26, 27] of unresponsive patients might be actually conscious and able to experience pain without any way to express suffering, caregivers need to consider pain medications whenever a medical condition is bound to generate nociceptive inputs. Invasive procedures in unconscious appearing patients ...

2019年4月17日 · Objectives We sought to study the association between sedation status, medications (benzodiazepines, opioids, and antipsychotics), and clinical outcomes in a resource-limited setting. Design A longitudinal study of critically ill participants on mechanical ventilation. Setting Five intensive care units (ICUs) in four public hospitals in Lima, Peru. Patients One …