Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Critical Care
Published in: Critical Care 2/2008

01-04-2008 | Commentary

Pain may be inevitable; inadequate management is not

Author: Yoanna Skrobik

Published in: Critical Care | Issue 2/2008

Login to get access

Abstract

Assessing and managing pain in the critically ill patient is challenging. Reproducible and clinically applicable pain measurement scales have yet to be validated and ubiquitously applied in the intensive care unit setting. Critical care clinicians, both physicians and nurses, should thoughtfully monitor their patient's pain level, periodically reassess their practice and critically evaluate the efficacy of pharmacological and nonpharmacological analgesic interventions.
Literature
1.
Ahlers SJ, van Gulik L, Veen van der AM, van Dongen HP, Bruins P, Belitser SV, de Boer A, Tibboel D, Knibbe CA: Comparison of different pain scoring systems in critically ill patients in a general ICU. Crit Care. 2008, 12: R15-10.1186/cc6789.PubMedPubMedCentralCrossRef
2.
Turner JS, Briggs SJ, Springhorn HE, Potgieter PD: Patients' recollection of intensive care unit experience. Crit Care Med. 1990, 18: 966-968. 10.1097/00003246-199009000-00012.PubMedCrossRef
3.
Desbiens NA, Wu AW, Broste SK, Wenger NS, Connors AF, Lynn J, Yasui Y, Phillips RS, Fulkerson W: Pain and satisfaction with pain control in seriously ill hospitalized adults: findings from the SUPPORT research investigations. For the SUPPORT investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment. Crit Care Med. 1996, 24: 1953-1961. 10.1097/00003246-199612000-00005.PubMedCrossRef
4.
Devlin JW, Marquis F, Riker RR, Robbins T, Garpestad E, Fong JJ, Didomenico D, Skrobik Y: Combined didactic and scenario-based education improves the ability of intensive care unit staff to recognize delirium at the bedside. Crit Care. 2008, 12: R19-10.1186/cc6793.PubMedPubMedCentralCrossRef
5.
Puntillo KA, White C, Morris AB, Perdue ST, Stanik-Hutt J, Thompson CL, Wild LR: Patients' perceptions and responses to procedural pain: results from Thunder Project II. Am J Crit Care. 2001, 10: 238-251.PubMed
6.
Fagerlund TH, Braaten O: No pain relief from codeine ...? An introduction to pharmacogenomics. Acta Anaesthesiol Scand. 2001, 45: 140-149. 10.1034/j.1399-6576.2001.450203.x.PubMed
7.
Ouimet S, Kavanagh BP, Gottfried SB, Skrobik Y: Incidence, risk factors and consequences of ICU delirium. Intensive Care Med. 2007, 33: 66-73. 10.1007/s00134-006-0399-8.PubMedCrossRef
8.
Hamill-Ruth RJ, Marohn ML: Evaluation of pain in the critically ill patient. Crit Care Clin. 1999, 15: 35-54. 10.1016/S0749-0704(05)70038-5. v-vi.PubMedCrossRef
9.
Park G, Coursin D, Ely EW, England M, Fraser GL, Mantz J, McKinley S, Ramsay M, Scholz J, Singer M, Sladen R, Vender JS, Wild L, Bair N, Bobek MB, Hoffman-Hogg L, Mion LC, Slomka J, Arroliga AC: Commentary. Balancing sedation and analgesia in the critically ill. Crit Care Clin. 2001, 17: 1015-1027. 10.1016/S0749-0704(05)70192-5.PubMedCrossRef
10.
Glynn G, Ahern M: Determinants of critical care nurses' pain management behaviour [review]. Aust Crit Care. 2000, 13: 144-151. 10.1016/S1036-7314(00)70642-4.PubMedCrossRef
11.
Slomka J, Hoffman-Hogg L, Mion LC, Bair N, Bobek MB, Arroliga AC: Influence of clinicians' values and perceptions on use of clinical practice guidelines for sedation and neuromuscular blockade in patients receiving mechanical ventilation. Am J Crit Care. 2000, 9: 412-418.PubMed
12.
Bair N, Bobek MB, Hoffman-Hogg L, Mion LC, Slomka J, Arroliga AC: Introduction of sedative, analgesic, and neuromuscular blocking agent guidelines in a medical intensive care unit: physician and nurse adherence. Crit Care Med. 2000, 28: 707-713. 10.1097/00003246-200003000-00018.PubMedCrossRef
13.
Mehta S, Burry L, Fischer S, Martinez-Motta JC, Hallett D, Bowman D, Wong C, Meade MO, Stewart TE, Cook DJ, Canadian Critical Care Trials Group: Canadian survey of the use of sedatives, analgesics, and neuromuscular blocking agents in critically ill patients. Crit Care Med. 2006, 34: 374-380. 10.1097/01.CCM.0000196830.61965.F1.PubMedCrossRef
14.
Haas CE, Forrest A: Pharmacokinetic and pharmacodynamic research in the intensive care unit: an unmet need. Crit Care Med. 2006, 34: 1831-1833. 10.1097/01.CCM.0000219372.32810.20.PubMedCrossRef
15.
Peduta VA, Ballabio M, Sefanini S: Efficacy of propacetamol in the treatment of postoperative pain: morphine sparing effect in orthopedic surgery. Italian Collaborative Group on Propacetamol. Acta Anaesthesiol Scand. 1998, 42: 293-298.CrossRef
16.
Riker RR, Fraser GL: Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit. Pharmacotherapy. 2005, 25 (5 Pt 2): 8S-18S. 10.1592/phco.2005.25.5_Part_2.8S.PubMedCrossRef
Metadata
Title
Pain may be inevitable; inadequate management is not
Author
Yoanna Skrobik
Publication date
01-04-2008
Publisher
BioMed Central
Published in
Critical Care / Issue 2/2008
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc6865

Other articles of this Issue 2/2008

Critical Care 2/2008 Go to the issue

Commentary

Recently published papers: Sepsis – guidelines, treatment and novel approaches

Commentary

Pulmonary artery occlusion pressure estimation by transesophageal echocardiography: is simpler better?

Research

Respiratory effects of different recruitment maneuvers in acute respiratory distress syndrome

Commentary

Protein C as a surrogate end-point for clinical trials of sepsis

Commentary

Tracheostomy decannulation: marathons and finish lines

Research

Intratracheal dopamine attenuates pulmonary edema and improves survival after ventilator-induced lung injury in rats