Pain Management of Intensive Care Unit (ICU) Patients. An Intervention Study to Evaluate the Effect of Systematic Pain Management of Various Groups of ICU Patients.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pain
- Sponsor
- Ostfold Hospital Trust
- Enrollment
- 650
- Locations
- 1
- Primary Endpoint
- Duration of mechanical ventilation, ICU and hospital length of stay
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to evaluate the effect of an algorithm, where ICU patients pain are assessed systematically with valid pain assessment tools and where pain is treated after pain intensity score.
Detailed Description
As a pre-test, before the intervention is introduced, data from ICU patients from four intensive care units (ICU) will be collected from medical records to evaluate current pain management practices. An algorithm, which is developed by a group of resource persons, is educated to the staff in three of the ICUs. The staff will also receive training and guiding in the use of the algorithm and the different pain assessment tools. Then the algorithm will be implemented and used in all the consecutive ICU patients. Post-test data is then collected in the three ICUs. In the fourth ICU, which will be used as a comparison unit, the same post-test data will be collected at the same time as data in intervention ICUs were collected. The algorithm will not be introduced here.
Investigators
Eligibility Criteria
Inclusion Criteria
- •All consecutive patients admitted into these four ICUs
Exclusion Criteria
- •Patients will be excluded if they are not able to express pain behaviors (i.e. quadriplegic, are receiving neuromuscular blockade or muscle paralyzing drugs or are being investigated for brain death.
Outcomes
Primary Outcomes
Duration of mechanical ventilation, ICU and hospital length of stay
Time Frame: The participants will be followed for the duration of hospital stay, an expected average of two weeks
Duration of mechanical ventilation, ICU and hospital length of stay will be measured in a group of ICU patients before (pre-test) and after (post-test) the intervention.
Secondary Outcomes
- Proportion of ICU patients express having pain or are estimated to have pain. How severe their pain is.(The participants will be followed for the duration of ICU stay, an expected average of one week)
- Documentation of ICU patients' pain and pain management in four ICU's.(The participants will be followed for the duration of ICU stay, an expected average of one week)
- The clinician's adherence to the pain management algorithm in ICU patients.(The adherence will be followed for the duration of ICU stay, an expected average of one week (post-test))
- Sedation level and Use of psychoactive drugs(The participants will be followed for the duration of ICU stay, an expected average of one week)
- Use of Analgesics(The participants will be followed for the duration of ICU stay, an expected average of one week)