Pain
Conditions
Keywords
critically ill, mechanical ventilation, pain, nursing, music
Brief summary
Pain is a common problem encountered in about 60 % of critically ill patients who can communicate. Its occurrence can be related to several causes, mainly dominated by invasive procedures. Pain management is typically based on a combination of prevention, evaluation, and therapeutic agents. However, it appears important to develop adjuvant approaches. Music therapy is one of them and that has been evaluated in various medical conditions. The aim of our study is to evaluate the analgesic effect of music therapy in critically ill patients during potentially painful nursing procedures.
Interventions
OTHERmusic therapy
Music therapy will be delivered through headphones during nursing procedures (toilet and/or surgical dressings): from initiation up to 30 minutes after the end of procedure.
Sponsors
Versailles Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All adult patients (age≥18 years) hospitalized in Intensive Care Unit * Requiring mechanical ventilation * Who cannot communicate * With a Richmond Agitation Sedation Scale (RASS) score \[-3; +4\]
Exclusion criteria
* Age \< 18 years * Receiving neuromuscular blockade
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| proportion of pain exposure during nursing procedures | 150 minutes | total length of pain exposure to a BPS score over or equal to 5 divided by total length of nursing procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| proportion of maximal pain exposure during nursing procedures | 150 minutes | Total length of exposure to the maximal BPS score (over or equal to 5) among total length of nursing procedure |
Countries
France
Outcome results
None listed