Pain Measurement and Pain Management in the ICU
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- St. Antonius Hospital
- Enrollment
- 190
- Primary Endpoint
- Pain scores using the numerical rating scale, rated by the attending nurse and by the patient if possible.
Study Overview
Brief Summary
The purpose of this study is to evaluate the effect of a pain training program and systematic measurement of pain scores on actual pain levels and the use of analgesics in critically ill patients.
Detailed Description
Systematic evaluation of pain, though still not common practice in all ICUs, is recommended in clinical practice guidelines for optimal pain management. Pain is a frequently experienced problem in patients in the Intensive Care Unit(ICU). In search of literature to support the need for introduction of a pain management system and to train the entire health staff in our department little information was found concerning the effects of pain training and pain management systems in the ICU. The small number of available studies may be explained by the difficulty of systematic pain measurement in ICU patients, mainly due to the inability to communicate effectively with these patients.
Study Design
- Study Type
- Observational
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All patients admitted to the ICU of the St. Antonius hospital, >18 years old.
Exclusion Criteria
- •Patients who are suspected to be brain-dead
Outcomes
Primary Outcomes
Pain scores using the numerical rating scale, rated by the attending nurse and by the patient if possible.
Time Frame: 3 times a day
Secondary Outcomes
- Dose of all pain medication (morphine, paracetamol) per patient(24 hr)
- 30 day Mortality(within 30 days)
- Length of stay in the ICU(ICU stay)
- Pneumonia(ICU stay)