Interní Med. 2011; 13(3): 123-126

Pain management in the critically ill patients

MUDr.Marek Lukeš
Anesteziologicko-resuscitační klinika LF MU a FN u sv. Anny v Brně

Pain is a frequently experienced problem in critically ill patients. Although pain may increase morbidity and mortality and may decrease

the health-related quality of life, the pain management in intensive care patients is often inadequate and complicated. On the other

hand, there is no doubt that improved pain management is associated with improved outcomes for both intubated and non-intubated

ICU patient. Unfortunately, assessing and managing pain in the critical ill patient is still an unfullfilled challenge.

Keywords: pain, pain management, intensive care

Published: March 16, 2011  Show citation

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Lukeš M. Pain management in the critically ill patients. Interní Med. 2011;13(3):123-126.
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    References

    1. International Association for Study of Pain. Pain terms: a listwith definitions and notes on usage. Pain 1979; 6: 249-252.
    2. McCaffery M. Nursing management of the patient with pain. Philadelphia, PA: Lippincott, 1979; 3.
    3. Lewis KS, Whipple JK, Michael KA. Effect of analgesic treatment on the physiologic consequences of acute pain. Am J Hosp Pharm 1994; 51(12): 1539-1554. Go to original source...
    4. Walder B, Tramer MR. Analgesia and sedation in critically ill patients. Swiss medical weekly 2004; 134: 333-346. Go to PubMed...
    5. Payen JF, Chanques G, Mantz J, et al. Current practices in sedation and analgesia for mechanically ventilated critically ill patients: a prospective multicenter patient-based study. Anesthesiology 2007; 106: 687-695. Go to original source... Go to PubMed...
    6. Changues G, Viel E, Constantin JM, Jung B, et al. The measurement of pain in intensive care unit: Comparison of 5 self-report intensity scales. Pain 2010; 151: 711-721. Go to original source... Go to PubMed...
    7. Merskey H, Bogduk N. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms, 2nd edition. Seattle: IASP Press; 1994.
    8. Ahlers S, van Gulik L, van der Veen AM, et al. Comparison of different pain scoring systems in critically ill patients in a general ICU. Critical Care 2008; 12: R15. Go to original source... Go to PubMed...
    9. Puntillo KA, Miaskowski C, Kehrle K, et al. Relationship between behavioral and physiological indicators of pain, critical care self reports of pain and opioid administration. Critical care medicine 1997; 25(7): 1159-1166. Go to original source... Go to PubMed...
    10. Puntillo KA, Wikl LR, Morris AB, et al. Practises and predictors of analgesic interventions for adults undergoing painful procedures. American journal of critical care 2002; 11(5): 415-429. Go to original source...
    11. Chong CA, Burchett KR. Pain management in critical care. British journal of anaesthesia, Continuing education in anaesthesia, critical care and pain, Reviews 2003; 3(6): 183-186. Go to original source...
    12. Payen J, Bru O, Bosson J, et al. Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med 2001; 29: 2258-2263. Go to original source... Go to PubMed...
    13. Chanques G, Jaber S, Barbotte E, et al. Impact of systematic evaluation of pain and agitation in an intensive care unit. Crit Care Med 2006; 34: 1691-1699. Go to original source... Go to PubMed...
    14. Robinson BRH, Mueller EW, Henson KRN, et al. Analgesiadelirium-sedation protocol for critically ill trauma patients reduces ventilator days and hospital length of stay. Journal of trauma injury infection & critical care 2008; 65: 517-526. Go to original source... Go to PubMed...
    15. Payen JF, Bosson JL, Chanques G, et al. Pain assessment is associated with decreased duration of mechanical ventilation in the intensive care unit: a post Hoc analysis of the DOLOREA study. Anesthesiology 2009; 111: 1308-1316. Go to original source... Go to PubMed...
    16. Angst MS, Clark JD. Opioid induced hyperalgesia: a qualitative systematic review. Anesthesiology 2006; 104: 570-587. Go to original source... Go to PubMed...
    17. Breen D, Karabinis A, Malbrain M, et al. Decreased duration of mechanical ventilation when comparing analgesia-based sedation using remifentanil with standard hypnotic-based sedation for up to 10 days in intensive care unit patients: a randomised trial. Critical care 2005; 9: 200-210. Go to original source... Go to PubMed...
    18. Latta KS, Ginsberg B, Barkin RL. Meperidine: A Critical Review. American Journal of Therapeutics 2002; 9: 53-68. Go to original source... Go to PubMed...
    19. Society of critical care medicine and American society of health system pharmacists: Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Critical care Medicine 2002; 30: 119-141. Go to PubMed...
    20. Skrobik Y. Pain may be inevitable, inadequate management is not. Critical Care 2008; 12: 142. Go to original source... Go to PubMed...

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