How often do we perform painful and stressful procedures in the paediatric intensive care unit? A prospective observational study

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Manuel A BaarslagMonique van Dijk

Abstract

Adequate analgesia and sedation is crucial in critical care. There is little knowledge on the extent of painful and stressful procedures on children admitted to a paediatric intensive care unit (PICU) and its analgesic and/or sedative management. The primary objective was to determine the number of painful and stressful procedures per patient per day in our PICU patients, including the numbers of attempts. A secondary objective was to map PICU nurses' perceptions of the painfulness of the included procedures. A prospective, single-centre observational cohort study in a tertiary PICU. All patients admitted to the PICU over a 3-month period were eligible. Readmissions, polysomnography patients, and patients without any data have been excluded. The number of painful and stressful procedures was collected daily, and use of analgesics and sedatives was assessed and recorded daily. Twenty-five randomly assigned nurses rated the painfulness of procedures based on their personal experience using a numeric rating scale from 0 to 10. In a 3-month period, a total of 229 patients were included, accounting for 855 patient days. The median number of painful and stressful procedures per patient per day was 11 (interquartile range=5-23). Endot...Continue Reading

Citations

Dec 22, 2020·Iranian Journal of Nursing and Midwifery Research·Fatemeh KhayerVajihe Atashi
Apr 15, 2021·Enfermería clínica·W Solihatul Hafidzah Wan Mohd AnnuarAniawanis Makhtar
Jan 7, 2022·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Marianne E NellisUNKNOWN Pediatric Critical Care Transfusion and Anemia EXpertise Initiative–Control/Avoidance of Bleeding (TAXI-CAB), in collaborati

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