Vital signs fluctuations and their relationship with pain in the brain-injured adult critically ill – A repeated-measures descriptive-correlational study

Boitor, Mădălina; Richard-Lalonde, Melissa; Bérubé, Mélanie; Émilie, Gosselin; Gélinas, Céline

doi:10.1016/j.iccn.2019.07.002

Cited by 5 publications

(2 citation statements)

References 33 publications

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“…Vital sign derangements should be considered sensitive, but not specific, for predicting pain in critically ill patients. 3,[24][25][26][27] Vital signs are not adequate for the assessment of pain and should never be used as the sole measurement. Non-painful ICU experiences and underlying pathology such as sepsis may also trigger vital sign changes such as tachycardia that are unrelated to pain but may be inappropriately attributed to pain by providers.…”

Section: Objective/behavioral Assessment Tools Vital Sign Assessmentmentioning

confidence: 99%

Current Perspectives on the Assessment and Management of Pain in the Intensive Care Unit

Nordness¹,

Hayhurst²,

Pandharipande³

2021

JPR

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Critical illness is often painful, both from the underlying source of illness, as well as necessary procedures performed for the monitoring and care of these patients. Pain is often under-recognized in the critically ill, especially among those who cannot self-report, so accurate assessment and management continue to be major consideration in their care. Pain management in the intensive care unit (ICU) is an evolving practice, with a focus on accurate and frequent pain assessment, and targeted pharmacologic and non-pharmacologic treatment methods to maximize analgesia and minimize sedation. In this review, we will evaluate several validated methods of pain assessment in the ICU and present management options. We will review the evidence-based recommendations put forth by the largest critical care societies and several high-quality studies related to both the in-hospital approach to pain, as well as the short- and long-term consequences of untreated pain in ICU patients. We conclude with future directions.

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Section: Objective/behavioral Assessment Tools Vital Sign Assessmentmentioning

confidence: 99%

Current Perspectives on the Assessment and Management of Pain in the Intensive Care Unit

Nordness¹,

Hayhurst²,

Pandharipande³

2021

JPR

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“…Therefore, the evaluation of vital signs and behavioral responses seem to be necessary for ICU patients especially when taking contradictions of various studies into consideration (4,15). More research is needed to verify if monitoring for uctuations in vital signs can assist nurses in this di cult endeavor (18) . This study aims to monitor the uctuations of vital signs and behavioral responses during the evaluation of pain in TBI patients.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Vital Signs’ Fluctuations and Behavioral Responses in the Assessment of Pain in Patients With Traumatic Brain Injury

Khanghah¹,

Paryad²,

safati³

et al. 2020

Preprint

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BackgroundTraumatic brain-injured (TBI) patients suffer severe pain. The assessment of behavioral responses and vital signs seems to be necessary for pain detection in these patients, a matter that this study aims to evaluate.MethodsThis cross sectional study uses repeated measures and included ninety-seven TBI patients from Poorsina hospital, Rasht, Iran. Patients’ relevant parameters were recorded using demographic checklist, specifications related to the disease, RASS, CPOT, and FPT tools. The data subsequently were entered into SPSS software V. 21 and were analyze using several tests including Bonferroni’s inferential test and Greenhouse-Geisser test, multiple analysis regression coefficient and general linear model by GEE method.ResultsThe average age of patients was 42.3 ± 18.2. The average consciousness level was 9.30 ± 2.96. There was significant difference between the painful and non-painful stimulations in heart rate, systolic blood pressure and diastolic blood pressure (p <0.001). Heart rate (p < 0.001, r = 0.253), number of respiration (p < 0.001, r = 0.173), systolic (p = 0.002, r = 0.128) and diastolic (p<0.001, r=0.223) blood pressures had a positive correlation with behavioral responses. However, the arterial oxygen saturation showed a negative correlation with behavioral responses (p < 0.001, r = -0.361). Statistical models demonstrated a significant direct relationship between CPOT with heart rate (β = 2.39, p < 0.001) and both systolic blood pressure (β= 1.31, p=0.002) and the fluctuations of diastolic blood pressure (β = 0.690, p = 0.009). ConclusionIt seems that behavioral responses are appropriate indices for pain detection. However, vital signs are not capable of being considered as proper indexes for pain assessment since they changed during several procedures while remained unchanged in other tests.

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Investigation of pain associated with endotracheal aspiration and affecting factors in an intensive care setting: A prospective observational study

Özsaban¹,

Cura²,

Coşkun³

et al. 2023

Australian Critical Care

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Vital signs fluctuations and their relationship with pain in the brain-injured adult critically ill – A repeated-measures descriptive-correlational study

Cited by 5 publications

References 33 publications

Current Perspectives on the Assessment and Management of Pain in the Intensive Care Unit

Current Perspectives on the Assessment and Management of Pain in the Intensive Care Unit

Evaluation of Vital Signs’ Fluctuations and Behavioral Responses in the Assessment of Pain in Patients With Traumatic Brain Injury

Investigation of pain associated with endotracheal aspiration and affecting factors in an intensive care setting: A prospective observational study

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