Intensive Care Med (2017) 43:1386–1388 DOI 10.1007/s00134-017-4694-3 WHAT ’S NE W IN INTENSIVE C ARE 1* 2 3,4 Kathleen Puntillo , Céline Gélinas and Gerald Chanques © 2017 Springer-Verlag Berlin Heidelberg and ESICM Although conducting pain assessments has shown Introduction positive effects on ICU pain management and patients’ Assessment and management of pain in intensive outcomes [e.g., ICU length of stay and mechanical ven- care unit (ICU) patients have profited from 25 years of tilation (MV) duration], observational pre-experimental research. Many advances have been made to identify designs were used in previous studies. A higher level of when patient pain is present and to test interventions evidence (i.e., experimental design) is needed to draw that will improve patient comfort. This article highlights firm conclusions. See Table 1 for suggestions for future ICU pain research advances, identifies gaps that need pain assessment research. attention, and suggests “next steps” in pain research. Other relevant avenues in ICU pain assessment research include studies of physiological measures of pain Next steps in ICU pain assessment research (excluding vital signs that have been shown to be invalid Routine monitoring of pain in all adult ICU patients pain indicators) . Pupil dilation reflex, in association using
Intensive Care Medicine – Springer Journals
Published: Feb 14, 2017
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