Pain related to tracheal suctioning in awake acutely and critically ill adults: A descriptive study

Arroyo-Novoa, Carmen Mabel; Figueroa-Ramos, Milagros I.; Puntillo, Kathleen; Stanik-Hutt, Julie; Thompson, Carol L.; White, Cheri; Wild, Lorie Rietman

doi:10.1016/j.iccn.2007.05.002

Cited by 114 publications

(100 citation statements)

References 13 publications

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“…An interesting finding is the mean at-rest scores, which were elevated with both tools (BPS score, 3.7; CPOT score, 0.27). These findings suggest baseline pain is present in a majority of critically ill patients, consistent with the results of a previous study 29 on characteristics of pain in the ICU. An important finding of the validity testing of both tools is a lack of strong correlation of the observational pain tools with patients' self-reports.…”

Section: Analysis Of the Literaturesupporting

confidence: 91%

“…The elevated BPS scores at rest are interesting and most likely support hypotheses provided in previous research that critically ill patients may have moderate levels of pain even at rest. 29 In another study, Young et al 30 used a descriptive, repeated-measures design to analyze the reliability and validity of the BPS. A total of 44 patients receiving mechanical ventilation whose hemodynamic status was stable were assessed before and after a nonpainful (eye care) and a painful (repositioning) procedure.…”

Section: Behavioral Pain Scalementioning

confidence: 99%

“…Nurses made 175 observations in a convenience sample of 80 medical-surgical ICU patients at 4 times: at rest, during a nonpainful procedure, during a painful procedure, and after the painful procedure. The assessments were done independently, and communicative patients were asked to provide a report of their pain intensity by using the Verbal Rating Scale 4 29 if able to do so after the BPS scoring was completed. Interrater reliability of the BPS was excellent (κ=0.80 for deeply sedated patients and 0.83 for conscious sedated patients).…”

Section: Behavioral Pain Scalementioning

confidence: 99%

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Observational Pain Scales in Critically Ill Adults

Stites

2013

Critical Care Nurse

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Pain is a common and distressing symptom in critically ill patients. Uncontrolled pain places patients at risk for numerous adverse psychological and physiological consequences, some of which may be life-threatening. A systematic assessment of pain is difficult in intensive care units because of the high percentage of patients who are noncommunicative and unable to self-report pain. Several tools have been developed to identify objective measures of pain, but the best tool has yet to be identified. A comprehensive search on the reliability and validity of observational pain scales indicated that although the Critical-Care Pain Observation Tool was superior to other tools in reliably detecting pain, pain assessment in individuals incapable of spontaneous neuromuscular movements or in patients with concurrent conditions, such as chronic pain or delirium, remains an enigma.

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Section: Analysis Of the Literaturesupporting

confidence: 91%

Section: Behavioral Pain Scalementioning

confidence: 99%

Section: Behavioral Pain Scalementioning

confidence: 99%

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Observational Pain Scales in Critically Ill Adults

Stites

2013

Critical Care Nurse

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“…Each domain is scored from 0 to 2, with a maximum score of 8. The tool has content validity, moderate to high interrater reliability, discriminate validity, and moderate criterion S tudies [1][2][3][4][5] on recall of moderate to severe pain challenge the effectiveness of pain management during an intensive care unit (ICU) stay. Patients' inability to selfreport pain is a marked barrier to effective assessment and management of pain.…”

Section: Study Design Participants and Settingmentioning

confidence: 99%

Behavioral Pain Assessment Tool for Critically Ill Adults Unable to Self-Report Pain

Rose¹,

Haslam²,

Dale³

et al. 2013

American Journal of Critical Care

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“…4). Soft suction catheters will not advance sufficiently into the pre-tracheal tissues [79][80][81][82].…”

Section: Assessment Of Tracheostomy Patencymentioning

confidence: 99%

Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies

et al. 2012

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SummaryAdult tracheostomy and laryngectomy airway emergencies are uncommon, but do lead to significant morbidity and mortality. The National Tracheostomy Safety Project incorporates key stakeholder groups with multi‐disciplinary expertise in airway management. , the Intensive Care Society, the Royal College of Anaesthetists, ENT UK, the British Association of Oral and Maxillofacial Surgeons, the College of Emergency Medicine, the Resuscitation Council (UK) the Royal College of Nursing, the Royal College of Speech and Language Therapists, the Association of Chartered Physiotherapists in Respiratory Care and the National Patient Safety Agency. Resources and emergency algorithms were developed by consensus, taking into account existing guidelines, evidence and experiences. The stakeholder groups reviewed draft emergency algorithms and feedback was also received from open peer review. The final algorithms describe a universal approach to managing such emergencies and are designed to be followed by first responders. The project aims to improve the management of tracheostomy and laryngectomy critical incidents.

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Pain related to tracheal suctioning in awake acutely and critically ill adults: A descriptive study

Cited by 114 publications

References 13 publications

Observational Pain Scales in Critically Ill Adults

Observational Pain Scales in Critically Ill Adults

Behavioral Pain Assessment Tool for Critically Ill Adults Unable to Self-Report Pain

Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies

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