Pain assessment in adult ICU: Critical-Care Pain Observation Tool ...
Pain assessment in adult ICU: Critical-Care Pain Observation Tool ...
Pain assessment in adult ICU: Critical-Care Pain Observation Tool ...
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BPSFacial expressionMovement upperlimbsCPOTFacial expressionBody movementMuscle tensionCompliance withventilationMaximum score 12po<strong>in</strong>tsCompliance withventilationMaximum score 8po<strong>in</strong>tsPayen, Crit <strong>Care</strong> Med, 2001 Gel<strong>in</strong>as, Am J Crit <strong>Care</strong>, 2006
Methods• Prospective s<strong>in</strong>gle centre observational cohortstudy• 24 bed level 3 <strong>ICU</strong> <strong>in</strong> Teach<strong>in</strong>g Hospital• Tra<strong>in</strong><strong>in</strong>g of 125 IC-nurses• Registration <strong>in</strong> computersystem 1• Analysis <strong>in</strong> SPSS 21. iMD-Soft; Metavision, Tel Aviv, Israel2. SPSS, version 17.0, Chicago IL
Results (1)• N = 68 general patients• <strong>Observation</strong>s dur<strong>in</strong>g 4 moments• Nurses preferred the CPOT
Results (2)• Discrim<strong>in</strong>ativeness for pa<strong>in</strong>:CPOT gave only higher score dur<strong>in</strong>g pa<strong>in</strong>fulprocedure• No difference <strong>in</strong> <strong>in</strong>terrater reliability (ICC)
Discussion• Standardised pa<strong>in</strong> evaluation improves treatment 1• <strong>ICU</strong> nurses underestimate pa<strong>in</strong> 2• Frequent exposure to facial expressions 31. Puntillo, Chest, 20092. Aslan, Nurs<strong>in</strong>g <strong>in</strong> <strong>Critical</strong> <strong>Care</strong>, 20033. Prkach<strong>in</strong>, The Journal of <strong>Pa<strong>in</strong></strong>, 2010
Acknowledgements• Patients• All <strong>ICU</strong> nurses of OLVG• Staff & Board for support
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