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The purpose of this study is to evaluate the effect of a pain training program and systematic measurement of pain scores on actual pain levels and the use of analgesics in critically ill patients.
Systematic evaluation of pain, though still not common practice in all ICUs, is recommended in clinical practice guidelines for optimal pain management. Pain is a frequently experienced problem in patients in the Intensive Care Unit(ICU). In search of literature to support the need for introduction of a pain management system and to train the entire health staff in our department little information was found concerning the effects of pain training and pain management systems in the ICU. The small number of available studies may be explained by the difficulty of systematic pain measurement in ICU patients, mainly due to the inability to communicate effectively with these patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| pain training program | ICU Patients treated with or without pain management protocol |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A Pain training program and pain measurement | Other | Comparing patients treated with and without analgesia and sedation protocol |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain scores using the numerical rating scale, rated by the attending nurse and by the patient if possible. | 3 times a day |
| Measure | Description | Time Frame |
|---|---|---|
| Dose of all pain medication (morphine, paracetamol) per patient | 24 hr | |
| Length of stay in the ICU | ICU stay | |
| Pneumonia |
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Inclusion Criteria:
Exclusion Criteria:
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Critically ill patients, 18 years and older
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| Name | Affiliation | Role |
|---|---|---|
| Peter Bruins, MD, PhD | Department of Anaesthesiology, Intensive Care and Pain Management, St Antonius Hospital, Nieuwegein | Principal Investigator |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D059408 | Pain Management |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D019468 | Disease Management |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
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| ICU stay |
| 30 day Mortality | within 30 days |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |