Assessment and Management of Pain in the Intensive Care Unit | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 10, Volume 73, Issue 4, October 2018, Page 6439-6445 PDF (260.63 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhm.2018.15108 | ||||
View on SCiNiTO | ||||
Authors | ||||
Mohammad Ibrahim Aljumah1; Enass Farouk Aboshoushah2; Daniel Coric3; Alaa Matuq Alaithan4; Abdullah Abdulmohsen Abdullah Almulhim5; Naif Matar AlOtaibi6; Mazen Hassan Sadoun Alaslani7; Fahad hussain kammas8; Ayat Salman al saeed9; Ali breek alharthi10 | ||||
1Western Sydney University | ||||
2King Abdulaziz University Hospital | ||||
3Nepean Hospital, NSW, Australia | ||||
4King Fahad Hospital Hofuf | ||||
5ER resident in King Fahad Hospital Hofuf | ||||
6Prince Sultan Military Medical City | ||||
7GP of Comprehensive Clinics of Ministry of Interior-Riyadh | ||||
8King Fahad General Hospital Jeddah | ||||
9Alfaisal University | ||||
10King Abdullah Hospital . Bisha city-ICU resident | ||||
Abstract | ||||
Background: Management and assessment of pain in patients in critical care unit is a daily challenge for the health care professionals, particularly in the intubated patients, patients on mechanical ventilation, or patients who are on analgesia as such patients are unable to self-assess existence and intensity of pain. It is crucial for physicians to follow guidelines that help in pain assessment and management effectively. Aim of the work: Our aim in this study was to study how to evaluate and manage pain in an intensive care unit patient, predominantly those patients who are unable to self- report or assess. Materials and methods: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1994, through March 2017. The following search terms were used: pain in ICU, pain management in ICU, pain assessment methods, pain assessment in intubated patients. Conclusion: Physical clues, which are given by comatose and intubated patients in critical care unit, should be taken in consideration, as they can be used as a method to identify existence of pain, and must be followed by effective management to decrease discomfort and prevent acute and chronic adverse effects. | ||||
Keywords | ||||
Pain in ICU; Intensive care unit assessment of pain; ICU pain management; guidelines to pain management | ||||
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