Related Experiment Video
Updated: May 6, 2026
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
8.5K
[Pain behaviour indicator scale (ESCID) application in severe non-communicative trauma patients receiving mechanical
C López López1, M A Murillo Pérez, S Torrente Vela
1UCI de Trauma y Emergencias, Hospital Universitario 12 de Octubre, Madrid, España.
Enfermeria Intensiva
|October 22, 2013
Summary
Pain significantly increased in non-communicative patients during tracheal suctioning, mobilization, and wound care. Vital signs were also affected, indicating procedural pain requires better management in intensive care settings.
Area of Science:
- Critical Care Medicine
- Nursing Research
- Pain Management
Context:
- Non-communicative patients with severe trauma require careful pain assessment.
- Mechanical ventilation necessitates frequent procedures like tracheal suctioning, mobilization, and wound care.
- Assessing pain in intubated patients is challenging but crucial for optimal care.
Purpose:
- To evaluate pain levels in non-communicative, mechanically ventilated patients undergoing specific procedures.
- To assess the impact of tracheal suctioning, mobilization, and wound care on pain.
- To analyze the effectiveness of analgesia during these procedures.
Summary:
- A prospective study monitored pain using the ESCID scale and vital signs in 29 patients during 184 procedures.
- Pain scores (ESCID) significantly increased during tracheal suctioning, mobilization, and wound care (P=.000).
- Hemodynamic variables were significantly altered, with 27% of procedures receiving analgesia, often inadequately.
Impact:
- Highlights the significant pain experienced by non-communicative patients during routine intensive care procedures.
- Suggests current analgesia protocols may be insufficient for these vulnerable patients.
- Emphasizes the need for improved pain assessment and management strategies in critical care.
Related Concept Videos
01:29Mechanical Ventilation I: Indication and Settings
4.2K
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
4.2K
01:14SBAR II: Application of SBAR
5.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.3K
01:23Acute Respiratory Failure-IV
830
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
830
01:20Assessment of Ventilation I: Respiratory Rate
2.8K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
2.8K