trauma. Acute pain due to trauma
Conditions
Interventions
Intervention 1: Intervention group: In the protocol (intervention) group, first, a comprehensive examination of the patient was performed. After, the patient entered the ward, simultaneously vital sig
Sponsors
Khoram-Abad University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 89 Years
Inclusion criteria
Inclusion criteria: Trauma patients (abdominal, chest, orthopedics trauma, and etc.) Patients need a ventilator with a minimum duration of 24 hours connected to the ventilator. Patients separated from the ventilator The minimum duration of separation from the ventilator is 24 hours. Willingness to participate in the study. Being able to self-report pain or express pain behaviors. level of consciousness equal and above 7 The minimum length of hospital stay in the ICU should be 48 hours. No pregnancy. No coagulation disorders
Exclusion criteria
Exclusion criteria: Transfer to home and using palliative care unit (end of life). Plant life, quadriplegia and the need for continuous infusion of nerve blockers and inhaled prostacyclins. Deep sedation to quit alcohol. Need for continuous infusion of sedative or analgesic for more than 24 hours. Patients with permanent brain injury admitted to neurosurgery wards. Deep sedation for treatment of active seizures. Patients in the final stage of kidney and liver failure. Cardiac arrest. Neurovascular injury, burns, ear, nose and throat surgeries, maxillofacial surgery, or plastic surgery to place a flap on the head or neck.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity in trauma patients in special surgical wards. Timepoint: Twice a day at 8-10 and 18-16 hours for a maximum of 4 days. Method of measurement: Behavioral Pain Scale BPS-NI, BPS, NRS Pain Numerical Scale.;Severity of restlessness in trauma patients in surgical wards. Timepoint: Twice a day at 8-10 and 18-16 hours for a maximum of 4 days. Method of measurement: Richmond Scale (RASS).;Incidence of delirium in trauma patients in special surgical wards. Timepoint: Once a day for 18-16 hours for a maximum of 4 days. Method of measurement: CAM-ICU scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cardiovascular response of trauma patients in surgical special wards. Timepoint: Before and after each drug intervention. Method of measurement: Blood pressure with Blood pressure monitor and pulse monitoring with cardiac and respiratory monitoring with manual count in one minute. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMaryam Hashemi
Khoram-Abad University of Medical Sciences
Outcome results
None listed