Kontakt 2019, 21(1):80-86 | DOI: 10.32725/kont.2018.005

Pain assessment tools in patients with artificial ventilationNursing - Review article

Alena Kohlová1,2,3,*, Katarína Žiaková1
1 Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Nursing, Martin, Slovak Republic
2 Jan Evangelista Purkyně University in Ústí nad Labem, Faculty of Health Studies, Department of Nursing and Midwifery, Ústí nad Labem, Czech Republic
3 Jan Evangelista Purkyně, University in Ústí nad Labem, Masaryk Hospital in Ústí nad Labem, Clinic of Anaesthesiology, Perioperative and Intensive Medicine, Ústí nad Labem, Czech Republic

The objective of this literature review was to find the tools used for pain assessment in patients with artificial ventilation who cannot verbalize their pain. The research was conducted based on systematic browsing of the available electronic licensed and freely available databases of Ebsco, Nursing Ovid, PubMed, Scopus and Web of Science. The following key words were used for the searches: pain assessment, pain management, intensive care, critical care, nursing. References acquired from the primary search were further selected to meet the following criteria: focus on pain assessment in intensive care (ICU) patients, studies presenting a unidimensional or multidimensional tool. The tool testing was carried out in patients spontaneously ventilating, or those with artificial ventilation. The tool was tested for usability and psychometric characteristics. In this phase, 1,153 full-text documents were found using the criteria. The final list contained 14 research studies upon an analysis carried out. Six measurement tools assessing pain in patients with artificial ventilation were established. Based on the analysis and comparison of the established tools, the most suitable tool for pain assessment in patients with artificial ventilation appears to be the Behavioural Pain Scale and The Critical Care Observation Tool. Presently, there are a number of measurement tools which can be used to assess pain in patients with artificial ventilation. However, none of them are validated for the Czech nursing environment in terms of language and culture. The use of a suitable and valid tool to assess pain in patients with artificial ventilation who cannot verbalize pain is fundamental for this group of patients in order to detect and eliminate pain.

Keywords: Artificial ventilation; Intensive care; Pain; Pain assessment tool

Received: April 21, 2018; Accepted: November 2, 2018; Prepublished online: January 11, 2019; Published: March 27, 2019  Show citation

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Kohlová A, Žiaková K. Pain assessment tools in patients with artificial ventilation. Kontakt. 2019;21(1):80-86. doi: 10.32725/kont.2018.005.
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    References

    1. Ahlers SJ, van der Veen AM, van Dijk M, Tibboel D, Knibble CA (2010). The use of Behavioral Pain Scale to assess pain in conscious sedated patients. Anesth Analg 110(1): 127-133. DOI: 10.1213/ANE.0b013e3181c3119e. Go to original source... Go to PubMed...
    2. Akça O, Melischek M, Scheck T, Hellwagner K, Arkiliç CF, Kurz A, et al. (1999). Postoperative pain and subcutaneous oxygen pension. Lancet 354(9172): 41-42. DOI: 10.1016/S0140-6736(99)00874-0. Go to original source... Go to PubMed...
    3. Barr J, Fraser GL, Puntillo K, Ely EW, Gélinas C, Dasta JF, et al. (2013).Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit: Executive summary. Am J Health Syst Pharm 70(1): 53-58. Go to original source... Go to PubMed...
    4. Bartůněk P, Jurásková D, Heczková J, Nalos D (2016). Vybrané kapitoly z intenzivní péče. Praha: Grada Publishing.
    5. Chanques G, Pohlman A, Kress JP, Molinari N, Jong de A, Jaber S, et al. (2014). Psychometric comparison of three behavioural scales for the assessment of pain in critically ill patients unable to self-report. Critical Care 18 R160. DOI: 10.1186/cc14000. Go to original source... Go to PubMed...
    6. Chapman CR, Tuckett RP, Song CW (2008). Pain and stress in systems perspective: reciprocal neural, endocrine, and imine interactions. J Pain 9(2): 122-145. DOI: 10.1016/j.jpain.2007.09.006. Go to original source... Go to PubMed...
    7. Dehghani H, Tavangar H, Ghandehari A (2014). Validity and reliability of behavioral pain scale in patients with low level of consciousness due to head trauma hospitalized in intensive care unit. Arch Trauma Res 3(1): e18608. DOI: 10.5812/atr.18608. Go to original source... Go to PubMed...
    8. Gélinas C, Fillion L, Puntillo K, Viens C, Fortier M (2006). Validation of the Critical-Care Pain Observation Tool for non-verbal adult patients. Am J Crit Care 15(4): 420-427. Go to original source...
    9. Gélinas C, Fillion L, Puntillo KA (2008). Item selection and content validity of the Critical-Care Pain Observation Tool for non-verbal adults. J Adv Nurs 65(1): 203-216. DOI: 10.1111/j.1365-2648.2008.04847.x. Go to original source... Go to PubMed...
    10. Gélinas C, Harel F, Fillion L, Puntillo K, Johnston C (2009). Sensitivity and specificity of the Critical-Care Observation Tool for the detection of pain in intubated adults after cardiac surgery. J Pain Symptom Manage 37(1): 59-67. DOI: 10.1016/j.jpainsymman.2007.12.022. Go to original source... Go to PubMed...
    11. IASP TWG (2012). International association for the study of pain; pain taxonomy. [online] [cit. 2018-03-05]. Available from: http://www.iasp-pain.org/Taxonomy
    12. Kabes AM, Graves JK, Norris J (2009). Futher validation of the Nonverbal Pain Scale in intensive care patients. Crit Care Nurse 29(1): 59-66. DOI: 10.4037/ccn2009992. Go to original source... Go to PubMed...
    13. Klein DG, Dumpe M, Katz E, Bena J (2010). Pain assessment in the intensive care unit: development and psychometric testing of the Nonverbal Pain Assessment Tool. Heart Lung 39(6): 521-528. DOI: 10.1016/j.hrtlng.2010.05.053. Go to original source... Go to PubMed...
    14. Latorre Marco I, Solíz Muñoz M, Falero Ruiz T, Larrasquitu Sánchez A, Romay Peréz AB, Millán Santos I (2011). Grupo del proyecto de Investigación ESCID. Validación de la Escala de condustas indicadoras de dolor para valorar el dolor en pacientes críticos, no comunicativos y sometidos a ventilaciónmecánica: resultados del proyecto ESCID. Enferm Intensiva 22: 3-12. DOI: 10.1016/j.enfi.2010.09.005. Go to original source... Go to PubMed...
    15. Latorre-Marco I, Acevedo-Nuevo M, Solíz-Muñoz M, Hernándes-Sánchez L, López-López C, Sánchez-Sánchez MM, et al. (2016). Psychometric validation of the behavioral indicators of pain scale for the assessment of pain in mechanically ventilated and unable to self-report critical care patients. Med Intensiva 40(8): 463-473. DOI: 10.1016/j.medin.2016.06.004. Go to original source... Go to PubMed...
    16. Marmo L, Fowler S (2010). Pain assessment tool in critically ill post-open heart surgery patient population. Pain Manag Nurs 11(3): 134-140. DOI: 10.1016/j.pmn.2009.05.007. Go to original source... Go to PubMed...
    17. Marx D, Vlček F (2013). Akreditační standardy pro nemocnice: obsahující hodnoticí požadavky specifikované v příloze č. 1 vyhlášky MZ ČR č. 102/2012 Sb., o hodnocení kvality a bezpečí lůžkové zdravotní péče. Praha: SAK společně s TIGIS.
    18. Odhner M, Wegman D, Freeland N, Steinmetz A, Ingersoll G (2003). Assessing pain control nonverbal critically ill adults. Dimens Crit Care Nurse 22(6): 260-267. Go to original source...
    19. Olsen BF, Rustøen T, Sandvik L, Miaskowski C, Jacobsen M, Valeberg BT (2015). Development of a pain management algorithm for intensive care units. Heart Lung (44): 521-527. DOI: 10.1016/j.hrtlng.2015.09.001. Go to original source... Go to PubMed...
    20. Pasero C, McCaffery M (2005). No self-report means no pain-intensity rating. Am J Nurs 105(10): 50-53. Go to original source... Go to PubMed...
    21. Payen JF, Bru O, Bosson JL, Lagrasta A, Novel E, Deschaux I, et al. (2001). Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med 29(12): 2258-2263. Go to original source... Go to PubMed...
    22. Payen JF, Chanques G, Mantz J, Hercule C, Auriant I, Leguillou JL, et al. (2007). Current Practices in Sedation and Analgesia for Mechanically Ventilated Critically Ill Patients. Anesthesiology 106(4): 687-695. DOI: 10.1097/01.anes.0000264747.09017.da. Go to original source... Go to PubMed...
    23. Pedersen LK, Rahbek O, Nikolajsen L, Møller-Madsen B (2017). Assessment of pain in children with cerebral palsy focused on translation and clinical feasibility of the revised FLACC score. Scand J Pain 9(1): 49-54. DOI: 10.1016/j.sjpain.2015.06.005. Go to original source... Go to PubMed...
    24. Puntillo K, Stannard D, Miaskowski C, Kehrle K, Gleeson S (2002). Use of a pain assessment and intervention notation (P.A.I.N) tool in critical care nursing practice: nurses' evaluations. Heart Lung 31: 303-314. Go to original source... Go to PubMed...
    25. Puntillo K (1990). Pain experiences of intensive care unit patients. Heart Lung 19(5 Pt 1): 526-533.
    26. Shannon K, Bucknall T (2003). Pain assessment in critical care: what have we learnt from research. Intensive Crit Care Nurs 19(3): 154-162. Go to original source... Go to PubMed...
    27. Skrobik Y, Ahern S, Leblanc M, Marquis F, Awissi DK, Kavanagh PB (2010). Protocolized Intensive Care Unit Management of Analgesia, Sedation, and Delirium Improves Analgesia and Subsyndromal Delirium Rates. Anesthesia 111(2): 451-463. DOI: 10.1213/ANE.0b013e3181d7e1b8. Go to original source... Go to PubMed...
    28. Wibbenmeyer L, Sevier A, Liao J, Williams I, Latenser B, Lewis R 2nd, et al. (2011). Evaluation of the usefulness of two established assessment tools a burn population. J Burn Care res 32(1): 52-60. DOI: 10.1097/BCR.0b013e3182033359. Go to original source... Go to PubMed...
    29. Wøien H, Bjørk IT (2013). Intensive care pain treatment and sedation. Intensive and critical care nursing. Intensive Crit Care Nurs 29(3): 128-136. DOI: 10.1016/j.iccn.2012.11.003. Go to original source... Go to PubMed...

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