Skip to main content
Erschienen in: Intensive Care Medicine 9/2017

14.02.2017 | What's New in Intensive Care

Next steps in ICU pain research

verfasst von: Kathleen Puntillo, Céline Gélinas, Gerald Chanques

Erschienen in: Intensive Care Medicine | Ausgabe 9/2017

Einloggen, um Zugang zu erhalten

Excerpt

Assessment and management of pain in intensive care unit (ICU) patients have profited from 25 years of research. Many advances have been made to identify when patient pain is present and to test interventions that will improve patient comfort. This article highlights ICU pain research advances, identifies gaps that need attention, and suggests “next steps” in pain research. …
Literatur
1.
Zurück zum Zitat Barr J, Fraser G, Puntillo K, Ely EW, Gelinas C, Dasta JF, Davidson JE, Devlin JW, Kress JP, Joffe AM, Coursin DB, Herr DL, Tung A, Robinson BR, Fontaine DK, Ramsay MA, Riker RR, Sessler CN, Pun B, Skrobik Y, Jaeschke R, American College of Critical Care (2013) Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med 41:263–306CrossRefPubMed Barr J, Fraser G, Puntillo K, Ely EW, Gelinas C, Dasta JF, Davidson JE, Devlin JW, Kress JP, Joffe AM, Coursin DB, Herr DL, Tung A, Robinson BR, Fontaine DK, Ramsay MA, Riker RR, Sessler CN, Pun B, Skrobik Y, Jaeschke R, American College of Critical Care (2013) Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med 41:263–306CrossRefPubMed
2.
Zurück zum Zitat Chanques G, Viel E, Constantin JM, Jung B, de Lattre S, Carr J, Cisse M, Lefrant JY, Jaber S (2010) The measurement of pain in intensive care unit: comparison of 5 self-report intensity scales. Pain 151:711–721CrossRefPubMed Chanques G, Viel E, Constantin JM, Jung B, de Lattre S, Carr J, Cisse M, Lefrant JY, Jaber S (2010) The measurement of pain in intensive care unit: comparison of 5 self-report intensity scales. Pain 151:711–721CrossRefPubMed
3.
Zurück zum Zitat Gelinas C, Puntillo K, Joffe AM, Barr J (2013) A validated approach to evaluating psychometric properties of pain assessment tools for use in nonverbal critically ill adults. Semin Respir Crit Care Med 34:153–168CrossRefPubMed Gelinas C, Puntillo K, Joffe AM, Barr J (2013) A validated approach to evaluating psychometric properties of pain assessment tools for use in nonverbal critically ill adults. Semin Respir Crit Care Med 34:153–168CrossRefPubMed
4.
Zurück zum Zitat Chanques G, Payen JF, Mercier G, de Lattre S, Viel E, Jung B, Cisse M, Lefrant JY, Jaber S (2009) Assessing pain in non-intubated critically ill patients unable to self report: an adaptation of the behavioral pain scale. Intensive Care Med 35:2060–2067CrossRefPubMed Chanques G, Payen JF, Mercier G, de Lattre S, Viel E, Jung B, Cisse M, Lefrant JY, Jaber S (2009) Assessing pain in non-intubated critically ill patients unable to self report: an adaptation of the behavioral pain scale. Intensive Care Med 35:2060–2067CrossRefPubMed
5.
Zurück zum Zitat Kanji S, Macphee H, Singh A, Johanson C, Fairbairn J, Lloyd T, Maclean R, Rosenberg E (2016) Validation of the critical care pain observation tool in critically ill patients with delirium: a prospective cohort study. Crit Care Med 44:943–947CrossRefPubMed Kanji S, Macphee H, Singh A, Johanson C, Fairbairn J, Lloyd T, Maclean R, Rosenberg E (2016) Validation of the critical care pain observation tool in critically ill patients with delirium: a prospective cohort study. Crit Care Med 44:943–947CrossRefPubMed
6.
Zurück zum Zitat Gelinas C (2016) Pain assessment in the critically ill adult: recent evidence and new trends. Intensive Crit Care Nurs 34:1–11CrossRefPubMed Gelinas C (2016) Pain assessment in the critically ill adult: recent evidence and new trends. Intensive Crit Care Nurs 34:1–11CrossRefPubMed
7.
Zurück zum Zitat Gelinas C, Puntillo KA, Levin P, Azoulay E (2017) The Behavior Pain Assessment Tool for critically ill adults: a validation study in 28 countries. Pain (in press) Gelinas C, Puntillo KA, Levin P, Azoulay E (2017) The Behavior Pain Assessment Tool for critically ill adults: a validation study in 28 countries. Pain (in press)
8.
Zurück zum Zitat Lukaszewicz AC, Dereu D, Gayat E, Payen D (2015) The relevance of pupillometry for evaluation of analgesia before noxious procedures in the intensive care unit. Anesth Analg 120:1297–1300CrossRefPubMed Lukaszewicz AC, Dereu D, Gayat E, Payen D (2015) The relevance of pupillometry for evaluation of analgesia before noxious procedures in the intensive care unit. Anesth Analg 120:1297–1300CrossRefPubMed
9.
Zurück zum Zitat Martini CH, Boon M, Broens SJ, Hekkelman EF, Oudhoff LA, Buddeke AW, Dahan A (2015) Ability of the nociception level, a multiparameter composite of autonomic signals, to detect noxious stimuli during propofol-remifentanil anesthesia. Anesthesiology 123:524–534CrossRefPubMed Martini CH, Boon M, Broens SJ, Hekkelman EF, Oudhoff LA, Buddeke AW, Dahan A (2015) Ability of the nociception level, a multiparameter composite of autonomic signals, to detect noxious stimuli during propofol-remifentanil anesthesia. Anesthesiology 123:524–534CrossRefPubMed
10.
Zurück zum Zitat Melzack R (2005) Evolution of the neuromatrix theory of pain. The Prithvi Raj lecture: presented at the Third World Congress of World Institute of Pain, Barcelona 2004 Melzack R (2005) Evolution of the neuromatrix theory of pain. The Prithvi Raj lecture: presented at the Third World Congress of World Institute of Pain, Barcelona 2004
11.
Zurück zum Zitat Herr K, Coyne PJ, McCaffery M, Manworren R, Merkel S (2011) Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Manag Nurs 12:230–250CrossRefPubMed Herr K, Coyne PJ, McCaffery M, Manworren R, Merkel S (2011) Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Manag Nurs 12:230–250CrossRefPubMed
12.
Zurück zum Zitat Shehabi Y, Chan L, Kadiman S, Alias A, Ismail WN, Tan MA, Khoo TM, Ali SB, Saman MA, Shaltut A, Tan CC, Yong CY, Bailey M (2013) Sedation depth and long-term mortality in mechanically ventilated critically ill adults: a prospective longitudinal multicentre cohort study. Intensive Care Med 39:910–918CrossRefPubMedPubMedCentral Shehabi Y, Chan L, Kadiman S, Alias A, Ismail WN, Tan MA, Khoo TM, Ali SB, Saman MA, Shaltut A, Tan CC, Yong CY, Bailey M (2013) Sedation depth and long-term mortality in mechanically ventilated critically ill adults: a prospective longitudinal multicentre cohort study. Intensive Care Med 39:910–918CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Faust AC, Rajan P, Sheperd LA, Alvarez CA, McCorstin P, Doebele RL (2016) Impact of an analgesia-based sedation protocol on mechanically ventilated patients in a medical intensive care unit. Anesth Analg 123:903–909CrossRefPubMed Faust AC, Rajan P, Sheperd LA, Alvarez CA, McCorstin P, Doebele RL (2016) Impact of an analgesia-based sedation protocol on mechanically ventilated patients in a medical intensive care unit. Anesth Analg 123:903–909CrossRefPubMed
14.
Zurück zum Zitat White PF, Rajan P, Sheperd LA, Alvarez CA, McCorstin P, Doebele RL (2007) The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg 104:1380–1396CrossRefPubMed White PF, Rajan P, Sheperd LA, Alvarez CA, McCorstin P, Doebele RL (2007) The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg 104:1380–1396CrossRefPubMed
15.
Zurück zum Zitat Su X, Meng ZT, Wu XH, Cui F, Li HL, Wang DX, Zhu X, Zhu SN, Maze M, Ma D (2016) Dexmedetomidine for prevention of delirium in elderly patients after non-cardiac surgery: a randomised, double-blind, placebo-controlled trial. Lancet 388:1893–1902CrossRefPubMed Su X, Meng ZT, Wu XH, Cui F, Li HL, Wang DX, Zhu X, Zhu SN, Maze M, Ma D (2016) Dexmedetomidine for prevention of delirium in elderly patients after non-cardiac surgery: a randomised, double-blind, placebo-controlled trial. Lancet 388:1893–1902CrossRefPubMed
Metadaten
Titel
Next steps in ICU pain research
verfasst von
Kathleen Puntillo
Céline Gélinas
Gerald Chanques
Publikationsdatum
14.02.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 9/2017
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-017-4694-3

Weitere Artikel der Ausgabe 9/2017

Intensive Care Medicine 9/2017 Zur Ausgabe

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.