Management of procedural pain in the intensive care unit

作     者：Na-Na Guo Hong-Liang Wang Ming-Yan Zhao Jian-Guo Li Hai-Tao Liu Ting-Xin Zhang Xin-Yu Zhang Yi-Jun Chu Kai-Jiang Yu Chang-Song Wang 

作者机构：Department of Critical Care MedicineHarbin Medical University Cancer HospitalHarbin 150081Heilongjiang ProvinceChina Department of Critical Care MedicineThe Second Affiliated Hospital of Harbin Medical UniversityHarbin 150081Heilongjiang ProvinceChina Department of Critical Care MedicineThe First Affiliated Hospital of Harbin Medical UniversityHarbin 150081Heilongjiang ProvinceChina Department of Intensive Care UnitZhongnan Hospital of Wuhan UniversityWuhan 430000Hubei ProvinceChina Department of OrthopedicsThe Second Affiliated Hospital of Harbin Medical UniversityHarbin 150081Heilongjiang ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第5期

页      面：1473-1484页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：Procedural pain Persistent pain Transient pain Pain management Topical anesthesia Intensive care unit 

摘      要：Pain is a common experience for inpatients,and intensive care unit(ICU)patients undergo more pain than other departmental patients,with an incidence of 50%at rest and up to 80%during common care procedures.At present,the management of persistent pain in ICU patients has attracted considerable attention,and there are many related clinical studies and guidelines.However,the management of transient pain caused by certain ICU procedures has not received sufficient attention.We reviewed the different management strategies for procedural pain in the ICU and reached a conclusion.Pain management is a process of continuous quality improvement that requires multidisciplinary team cooperation,painrelated training of all relevant personnel,effective relief of all kinds of pain,and improvement of patients quality of life.In clinical work,which involves complex and diverse patients,we should pay attention to the following points for procedural pain:(1)Consider not only the patient s persistent pain but also his or her procedural pain;(2)Conduct multimodal pain management;(3)Provide combined sedation on the basis of pain management;and(4)Perform individualized pain management.Until now,the pain management of procedural pain in the ICU has not attracted extensive attention.Therefore,we expect additional studies to solve the existing problems of procedural pain management in the ICU.