Matthew J G Sigakis1, Edward A Bittner. 1. 1Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI. 2Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA.
Abstract
OBJECTIVES: The aim of this article is to expose common myths and misconceptions regarding pain assessment and management in critically ill patients that interfere with effective care. We comprehensively review the literature refuting these myths and misconceptions and describe evidence-based strategies for improving pain management in the ICU. DATA SOURCES: Current peer-reviewed academic journals, as well as standards and guidelines from professional societies. STUDY SELECTION: The most current evidence was selected for review based on the highest degree of supportive evidence. DATA EXTRACTION: Data were obtained via medical search databases, including OvidSP, and the National Library of Medicine's MEDLINE database via PubMed. DATA SYNTHESIS: After a comprehensive literature review, conclusions were drawn based on the strength of evidence and the most current understanding of pain management practices in ICU. CONCLUSIONS: Myths and misconceptions regarding management of pain in the ICU are prevalent. Review of current evidence refutes these myths and misconceptions and provides insights and recommendations to ensure best practices.
OBJECTIVES: The aim of this article is to expose common myths and misconceptions regarding pain assessment and management in critically illpatients that interfere with effective care. We comprehensively review the literature refuting these myths and misconceptions and describe evidence-based strategies for improving pain management in the ICU. DATA SOURCES: Current peer-reviewed academic journals, as well as standards and guidelines from professional societies. STUDY SELECTION: The most current evidence was selected for review based on the highest degree of supportive evidence. DATA EXTRACTION: Data were obtained via medical search databases, including OvidSP, and the National Library of Medicine's MEDLINE database via PubMed. DATA SYNTHESIS: After a comprehensive literature review, conclusions were drawn based on the strength of evidence and the most current understanding of pain management practices in ICU. CONCLUSIONS: Myths and misconceptions regarding management of pain in the ICU are prevalent. Review of current evidence refutes these myths and misconceptions and provides insights and recommendations to ensure best practices.
Authors: Caíque Jordan Nunes Ribeiro; Andra Carla Santos de Araújo; Saulo Barreto Brito; Daniele Vieira Dantas; Mariangela da Silva Nunes; José Antonio Barreto Alves; Maria do Carmo de Oliveira Ribeiro Journal: Rev Bras Ter Intensiva Date: 2018-03