Adult ICU Patients, Pain, Acute
Conditions
Keywords
incidence, surgical ICU
Brief summary
In SICU, Siriraj hospital there were no protocols place for the management of pain. All decisions were made according the attending physicians. There were no information about incidence of inappropriate pain management in SICU due to lack of validated tool for assessment. To date, Thai-version of BPS and CPOT were validated, the incidence of inappropriate pain management in SICU, Siriraj hospital should be assessed.
Interventions
None listed
Sponsors
Mahidol University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Older than 18 years. * Expected duration of mechanical ventilation of more than 24 hours.
Exclusion criteria
* Quadriplegia. * Receiving neuromuscular blocking medications. * Coma or severe brain injury * Neurosurgery/ CVT patients/ trauma patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| overtreatment of pain (Richmond agitation sedation scale) | day0- 2 after admitted to ICU | Richmond agitation sedation scale -3 to -5 undertreatment NRS 4-10 or CPOT 3-8 |
| inadequate treatment of pain (Numeral rating scale) | day 0-2 after admitted to ICU | Numeral rating scale 4-10 in communicable patient or critical care pain observation tool 3-8 in non-communicable patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality rate | 30 days after admitted to ICU | — |
| ICU length of stay | 30 days after admitted to ICU | — |
| Duration of mechanical ventilation | 30 days after admitted to ICU | — |
| Incidence of acquired complication | 30 days after admitted to ICU | * Ventilator associated pneumonia * GI hemorrhage * Venous thromboembolism * Central venous catheter colonization |
Countries
Thailand
Outcome results
None listed