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7.2 - Principles of Assessment, Prevention and Treatment of Pain in Intensive Care

from Section 7 - Comfort and Recovery

Published online by Cambridge University Press:  27 July 2023

By
Harriet Kemp  and
Helen Laycock
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Moderate to severe pain is common in ICU patients.

  2. 2. Assessment and management of pain can impact on psychological and physiological outcomes.

  3. 3. The American College of Critical Care published guidelines for the assessment and management of pain in the ICU.

  4. 4. Patients should be assessed regularly for pain using observational tools validated in the ICU environment.

  5. 5. Procedural pain should be considered for all interventions, even minor such as patient repositioning.

Keywords

painanalgesiapain assessmentprocedural pain
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 656 - 659
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Devlin, JW, Skrobik, Y, Gelinas, C, et al. Clinical practice guideline for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med 2018;46:e825–73.CrossRefGoogle ScholarPubMed
Kemp, HI, Bantel, C, Gordon, F, Brett, SJ, Laycock, HC. Pain Assessment in INTensive care (PAINT): an observational study of physician-documented pain assessment in 45 intensive care units in the United Kingdom. Anaesthesia 2017;72:737–48.CrossRefGoogle ScholarPubMed
Laycock, HC, Ward, S, Halmshaw, C, Nagy, I, Bantel, C. Pain in intensive care: a personalized healthcare approach. J Intensive Care Soc 2013;14:312–18.Google Scholar
Payen, J, Bosson, JL, Chanques, G, Mantz, J, Labarere, J; DOLOREA Investigators. Pain assessment is associated with decreased duration of mechanical ventilation in the intensive care unit: a post hoc analysis of the DOLOREA Study. Anaesthesiology 2009;6:1308–16.Google Scholar
Payen, J, Bru, O, Bosson, JL, et al. Assessing pain in critically ill sedated patients by using a behavioural pain scale. Crit Care Med 2001;29:2258–63.CrossRefGoogle Scholar

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