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The purpose of this research is to find the best system for assessing the pain of critically ill patient in Intensive Care Unit (ICU).
At first the investigators assess the sedation of the patient with the scale sedation-agitation scale (SAS) or the delirium with the confusion assessment method, if the patient is too sedated or delirious the investigators consider him unable to use the Visual Analogic Scale (VAS).
The investigators compare two different scales Critical Care Pain Observation Tool (CPOT) and Behavioural Pain Scale (BPS) which include no verbal items. Each items has been evaluated in three different moments: before, during and after the nurses' care.
The investigators compare the scales between them. Then, every time the investigators value the score of these scales with the self-report of patients with the VAS scale (when it is possible) and finally with the physiological parameters (blood pressure, heart rate and respiratory rate).
In the end, the investigators compare two different classes of patient: the surgical and medical one. The investigators search for some differences in the perception of the pain between these two classes.
This study has specific aims:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ICU patients | All patients admitted to ICU for a minimal hospitalization of 24 hours, invasive mechanically ventilated, will be evaluated with CPOT and BPS scores, during nurses work, in particular before and after nurses manoeuvers. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CPOT, BPS | Other | Scoring pain of the patients during nurses activity in ICU, in particular before and after nurses manoeuvers. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The evaluation of pain in critically ill patients | The measurement of pain with no verbal items of different pain scales: facial expression, movements of the body, muscle tone, compliance of mechanical ventilation, movements of the arms. We'll evaluate the level of pain before and after nurses manoeuvers | Participants will be followed for 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| The comparisation beetween the CPOT and the BPS scales | The comparisation beetween the different items of two scales: CPOT (facial expression, movements of the body, muscle tone, compliance of mechanical ventilation) and BPS (facial expression, movements of the arms, compliance of mechanical ventilation). | Participants will be followed for 3 days |
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Inclusion Criteria:
Exclusion Criteria:
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Adult male and female Critically ill patients Mechanically ventilated patients
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| Name | Affiliation | Role |
|---|---|---|
| Paolo MD Severgnini, Prof. | Universita' degli Studi dell'Insubria, Varese, Italy | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azienda ospedaliera ospedale Circolo e Fondazione Macchi | Varese | Varese | 21100 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27833752 | Derived | Severgnini P, Pelosi P, Contino E, Serafinelli E, Novario R, Chiaranda M. Accuracy of Critical Care Pain Observation Tool and Behavioral Pain Scale to assess pain in critically ill conscious and unconscious patients: prospective, observational study. J Intensive Care. 2016 Nov 7;4:68. doi: 10.1186/s40560-016-0192-x. eCollection 2016. |
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| D010146 | Pain |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009461 | Neurologic Manifestations |
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| The comparisation of CPOT and BPS between medical and surgical critically ill patients | We'll measure facial expression, movements of the body, muscle tone, compliance of mechanical ventilation, movements of the arms, according with BPS and CPOT scores in two classes of patient: the surgical and medical critically ill patients. | Participants will be followed for 3 days |
| D012816 | Signs and Symptoms |