BACKGROUND: Little is known about the acute pain experiences of traumatically injured critically ill patients. OBJECTIVES: To describe pain experiences of traumatically injured adults during the first 72 hours of hospitalization. METHODS: Thirty multiply injured adults at a level I trauma center participated in the study. Pain was measured by using the McGill Pain Questionnaire and a visual analog scale. Subjects completed pain measures while at rest in a supine recumbent position and after a turn onto the side. RESULTS: The typical subject was 37 years old, had 4 major blunt trauma injuries, and had received the equivalent of 55.9 mg of morphine during the 24 hours before data collection. Mean at-rest scores were 26.5 on the pain-rating index, 2 on the present pain intensity index, and 34.6 on the visual analog scale. Immediately after the turn, mean scores on the visual analog scale increased from 25 to 48.1 (P = .002). Other pain scores after the turn did not differ significantly from at-rest values. Subjects who turned had lower scores on the visual analog scale at rest (P = .02) and less anxiety (P = .02) than did those who refused to turn. Ninety-six percent reported pain in the injured areas, and 36% reported pain related to biomedical devices. No relationship was found among reported pain and demographic, treatment, or clinical variables. CONCLUSIONS: Additional research is needed on pain at rest and during commonly performed procedures and on improved methods for pain relief in traumatically injured critically ill patients.
BACKGROUND: Little is known about the acute pain experiences of traumatically injured critically illpatients. OBJECTIVES: To describe pain experiences of traumatically injured adults during the first 72 hours of hospitalization. METHODS: Thirty multiply injured adults at a level I trauma center participated in the study. Pain was measured by using the McGill Pain Questionnaire and a visual analog scale. Subjects completed pain measures while at rest in a supine recumbent position and after a turn onto the side. RESULTS: The typical subject was 37 years old, had 4 major blunt trauma injuries, and had received the equivalent of 55.9 mg of morphine during the 24 hours before data collection. Mean at-rest scores were 26.5 on the pain-rating index, 2 on the present pain intensity index, and 34.6 on the visual analog scale. Immediately after the turn, mean scores on the visual analog scale increased from 25 to 48.1 (P = .002). Other pain scores after the turn did not differ significantly from at-rest values. Subjects who turned had lower scores on the visual analog scale at rest (P = .02) and less anxiety (P = .02) than did those who refused to turn. Ninety-six percent reported pain in the injured areas, and 36% reported pain related to biomedical devices. No relationship was found among reported pain and demographic, treatment, or clinical variables. CONCLUSIONS: Additional research is needed on pain at rest and during commonly performed procedures and on improved methods for pain relief in traumatically injured critically illpatients.
Authors: Kathleen A Puntillo; John Neuhaus; Shoshana Arai; Steven M Paul; Michael A Gropper; Neal H Cohen; Christine Miaskowski Journal: Crit Care Med Date: 2012-10 Impact factor: 7.598
Authors: Kathleen A Puntillo; Adeline Max; Jean-Francois Timsit; Stephane Ruckly; Gerald Chanques; Gemma Robleda; Ferran Roche-Campo; Jordi Mancebo; Jigeeshu V Divatia; Marcio Soares; Daniela C Ionescu; Ioana M Grintescu; Salvatore Maurizio Maggiore; Katerina Rusinova; Radoslaw Owczuk; Ingrid Egerod; Elizabeth D E Papathanassoglou; Maria Kyranou; Gavin M Joynt; Gaston Burghi; Ross C Freebairn; Kwok M Ho; Anne Kaarlola; Rik T Gerritsen; Jozef Kesecioglu; Miroslav M S Sulaj; Michelle Norrenberg; Dominique D Benoit; Myriam S G Seha; Akram Hennein; Fernando J Pereira; Julie S Benbenishty; Fekri Abroug; Andrew Aquilina; Julia R C Monte; Youzhong An; Elie Azoulay Journal: Intensive Care Med Date: 2018-08-21 Impact factor: 17.440
Authors: Florenc Demrozi; Graziano Pravadelli; Patrick J Tighe; Azra Bihorac; Parisa Rashidi Journal: Annu Int Conf IEEE Eng Med Biol Soc Date: 2020-07
Authors: Gerald Chanques; Anne Pohlman; John P Kress; Nicolas Molinari; Audrey de Jong; Samir Jaber; Jesse B Hall Journal: Crit Care Date: 2014-07-25 Impact factor: 9.097