Management of Pain in the Intensive Care Unit

Abstract

Background: Pain assessment in ICU patients turns out to be a daily challenge for the attending teams, particularly in those patients who are intubated endotracheally; on mechanical ventilation or analgosedated as such patients are unable to self-assess existence and intensity of pain. Guidelines to identify pain in these patients are crucial for physicians for effective management. Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1994, through March 2017. The following search terms were used: pain management in ICU, pain in ICU, pain assessment by behavior, pain assessment in intubated patients. Aim: Our aim in this study was to understand how to assess and manage pain in an intensive care unit patient, particularly those patients who are unable to self-report or assess. Conclusion: Physical clues given by comatose or intubated patients in critical care unit must be used as a method to identify existence of pain, and must be managed effectively to decrease discomfort and prevent short and long term adverse effects.

Su Jok as a Complementary Method for Pain Reduction

“…IASP'ye göre ağrı; vücudun herhangi bir bölgesinde, mevcut ya da olası doku hasarına eşlik edebilen, bireyin önceki deneyimlerinden de etkilenen, hoş olmayan duyumdur. 7,9,[11][12][13][14]…”