Validation of the Brazilian version of Behavioral Pain Scale in adult sedated and mechanically ventilated patients

Azevedo-Santos, Isabela Freire; Alves, Iura Gonzalez Nogueira; Neto, Manoel Luiz de Cerqueira; Badauê‐Passos, Daniel; Santana‐Filho, Valter Joviniano; DeSantana, Josimari Melo

doi:10.1016/j.bjane.2015.11.003

Cited by 9 publications

(8 citation statements)

References 35 publications

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“…However, since it is not possible to obtain the patient's verbal report about his/her pain, several observational scales have been recommended 12 . Among them, the BPS stands out for its high accuracy, easy application and for being adapted to the Brazilian reality 8,25 . Like other studies conducted in Brazil 6,17,25 , this study showed that the BPS was adequate to evaluate pain in unarticulated patients.…”

Section: Discussionmentioning

confidence: 99%

“…Among them, the BPS stands out for its high accuracy, easy application and for being adapted to the Brazilian reality 8,25 . Like other studies conducted in Brazil 6,17,25 , this study showed that the BPS was adequate to evaluate pain in unarticulated patients. The comparison of the scale scores at rest and during eye cleansing, considered as a non-painful procedure, showed no variation.…”

Section: Discussionmentioning

confidence: 99%

“…The comparison of the scale scores at rest and during eye cleansing, considered as a non-painful procedure, showed no variation. In this study, eye cleansing simulates other situations or procedures that are performed by the professional, such as dressing changes and measure temperature, but which do not necessarily correspond to painful stimuli 8,25,26 . However, the results showed a significant variation in the scale scores during TS -considered a painful process for the patient -and the highest scores of the instrument were observed, regardless of the form of analgesia (or absence).…”

Section: Discussionmentioning

confidence: 99%

“…However, the use of observational scales should not be considered as the most reliable or the only evaluation necessary since they do not reflect the intensity or the location of the pain, and they can be masked by deep sedation or the use of blocking agents. Likewise, these instruments should not replace the self-report of pain, when possible 25,34 .…”

Section: Discussionmentioning

confidence: 99%

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Pain assessment in critical patients using the Behavioral Pain Scale

Oliveira

Macedo

Silva

et al. 2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: The sensation of pain is essential for life, and its assessment in critical non-contacting patients can be performed using validated scales. The Behavioral Pain Scale is a highly accurate tool that has been widely used in this group of patients. This study aimed to describe and characterize pain and the use of analgesia in the emergency or intensive care service. METHODS: This was a cross-sectional study with a quantitative approach with 67 critically ill patients unable to verbalize their pain perception, who were hospitalized in the emergency service or Intensive Care Units of a public hospital in Vitória da Conquista, Bahia from April to July 2017. Clinical and epidemiological data were collected using the medical record and then applied to the Behavioral Pain Scale for pain assessment. RESULTS: There was a predominance of male patients (47/70.1%). Three groups were identified based on the use of sedatives and analgesics: patients taking sedatives and analgesics combined, only analgesia, and those without any sedation or analgesia. We observed ascending Behavioral Pain Scale scores in all groups during tracheal suction, but the same did not occur with the physiological parameters. CONCLUSION: The study proposes the adoption of pain assessment scales in critical patients, such as the Behavioral Pain Scale, as well as the use of protocols for analgesia management, and consequently improve the quality of care and patient's recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pain assessment in critical patients using the Behavioral Pain Scale

Oliveira

Macedo

Silva

et al. 2019

Brazilian Journal of Pain

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“…A BPS, traduzida, validada para a realidade brasileira, utilizada em pacientes em ventilação mecânica e/ou sedados, que possui escores entre três e 12, sendo três quando o paciente encontra-se sem dor e 12 dor máxima. Ela avalia os seguintes itens: Expressão facial, membros e adaptação ao ventilador mecânico (10)(11)(12)(13).…”

Section: Métodounclassified

Associação entre dor, analgossedação e mortalidade de pacientes em unidade terapia intensiva

Silva

Barbosa

Bastos

et al. 2020

BJHR

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Validation of the behavioral pain scale to assess pain intensity in adult, intubated postcardiac surgery patients

Kotfis¹,

Strzelbicka²,

Zegan-Barańska³

et al. 2018

Medicine

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Patients after cardiac surgery experience significant pain, but cannot communicate effectively due to opioid analgesia and sedation. Identification of pain with validated behavioral observation tool in patients with limited abilities to self-report pain improves quality of care and prevents suffering. Aim of this study was to validate Polish version of behavioral pain scale (BPS) in intubated, mechanically ventilated patients sedated with dexmedetomidine and morphine after cardiac surgery.Prospective observational cohort study included postoperative cardiac surgery patients, both sedated with dexmedetomidine and unsedated, observed at rest, during a nociceptive procedure (position change) and 10 minutes after intervention. Pain control was achieved using morphine infusion and nonopioid coanalgesia. Pain intensity evaluation included self-report by patient using numeric rating scale (NRS) and BPS assessments carried out by 2 blinded observers.A total of 708 assessments were performed in 59 patients (mean age 68 years), predominantly men (44/59, 75%). Results showed very good interrater correlation between raters (interrater correlation scores >0.87). Self-report NRS scores were obtained from all patients. Correlation between NRS and BPS was relatively strong during nociceptive procedures in all patients for rater A and rater B (Spearman R > 0.65, P < .001). Both mean NRS and BPS scores were significantly higher during nociceptive procedures as compared to assessments at rest, in both sedated and unsedated patients (P < .001).The results of this observational study show that the Polish translation of BPS can be regarded as a useful and validated tool for pain assessment in adult intubated patients. This instrument can be used in both unsedated and sedated cardiac surgery patients with limited communication abilities.

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Validation of the Brazilian version of Behavioral Pain Scale in adult sedated and mechanically ventilated patients

Cited by 9 publications

References 35 publications

Pain assessment in critical patients using the Behavioral Pain Scale

Pain assessment in critical patients using the Behavioral Pain Scale

Associação entre dor, analgossedação e mortalidade de pacientes em unidade terapia intensiva

Validation of the behavioral pain scale to assess pain intensity in adult, intubated postcardiac surgery patients

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