Pain Assessment of Patients with Traumatic Brain Injury in the Intensive Care Unit

Main Article Content

Nusara Prasertsri
Yosapon Leaungsomnapa
Sangworn Katekham

Abstract

Pain assessment of patients with traumatic brain injury in the intensive care unit (ICU) is a challenge for nurses. With regard to the patient’s state of consciousness, the inability to express self-reported pain has decreased. Pain assessment was based on pain behavior. Accurate pain assessment enables appropriate pain management in this group of patients. The purposes of this paper were to present pain in patients with traumatic brain injury and the Critical-Care Pain Observation Tool Neuro (CPOT-Neuro), which was used to assess patients with brain injury in the intensive care unit. This is to ensure appropriate pain management for the patient.

Article Details

How to Cite
1.
Prasertsri N, Leaungsomnapa Y, Katekham S. Pain Assessment of Patients with Traumatic Brain Injury in the Intensive Care Unit . NJPH (วารสาร พ.ส.) [Internet]. 2023 Apr. 29 [cited 2024 Dec. 22];33(1):14-22. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/262713
Section
บทความวิชาการ

References

Lee K, Oh H, Suh Y, Seo W. Patterns and clinical correlates of pain among brain injury patients in critical care assessed with the critical care pain observation tool. Pain Management Nursing.2013;14(4):259-67.

Gélinas C. Pain assessment in the critically ill adult: recent evidence and new trends. Intensive and Critical Care Nursing.2016;34:1-11.

Barr J, Fraser GL, Puntillo K, Ely EW, Gélinas C, Dasta JF, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Critical Care Medicine.2013;41(1):263-306.

Chanques G, Gélinas C. Monitoring pain in the intensive care unit (ICU). Intensive Care Medicine. 2022;48(10):1508-11.

Irvine K-A, Clark JD. Chronic pain after traumatic brain injury: pathophysiology and pain mechanisms. Pain Medicine. 2018;19(7):1315-33.

Chelazzi C, Falsini S, Gemmi E. Pain Management in Critically Ill Patient. Critical Care Sedation. 2018:21-34.

Gélinas C, Bérubé M, Puntillo KA, Boitor M, Richard-Lalonde M, Bernard F, et al. Validation of the Critical-Care Pain Observation Tool-Neuro in brain-injured adults in the intensive care unit: a prospective cohort study. Critical Care.2021;25(1):1-15.

Bosak N, Branco P, Kuperman P, Buxbaum C, Cohen RM, Fadel S, et al. Brain Connectivity Predicts Chronic Pain in Acute Mild Traumatic Brain Injury. Annals of Neurology. 2022;92(5):819-33.

Chatelle C, Hauger SL, Martial C, Becker F, Eifert B, Boering D, et al. Assessment of nociception and pain in participants in an unresponsive or minimally conscious state after acquired brain injury: the relation between the coma recovery scale–revised and the nociception coma scale–revised. Archives of Physical Medicine and Rehabilitation.2018;99(9):1755-62.

Vardeh D, Mannion RJ, Woolf CJ. Toward a mechanism-based approach to pain diagnosis. The Journal of Pain.2016;17(9):T50-T69.

Zasler ND, Formisano R, Aloisi M. Pain in persons with disorders of consciousness. Brain Sciences. 2022;12(3):300.

Mischkowski D, Palacios-Barrios EE, Banker L, Dildine TC, Atlas LY. Pain or nociception? Subjective experience mediates the effects of acute noxious heat on autonomic responses. Pain.2018;159(4):699.

Kyle BN, McNeil DW. Autonomic arousal and experimentally induced pain: a critical review of the literature. Pain Research and Management.2014;19(3):159-67.

Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJ, Pandharipande PP, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Critical care Medicine.2018;46(9):e825-e73.

Bernard C, Delmas V, Duflos C, Molinari N, Garnier O, Chalard K, et al. Assessing pain in critically ill brain-injured patients: a psychometric comparison of 3 pain scales and videopupillometry. Pain. 2019;160(11):2535-43.

Gélinas C, Fillion L, Puntillo KA, Viens C, Fortier M. Validation of the critical-care pain observation tool in adult patients. American Journal of Critical Care. 2006;15(4):420-7.

Zhai Y, Cai S, Zhang Y. The diagnostic accuracy of critical care pain observation tool (CPOT) in ICU patients: a systematic review and meta-analysis. Journal of Pain and Symptom Management. 2020;60(4):847-56. e13.

Thikom N, Thongsri R, Wongcharoenkit P, Khruamingmongkhon P, Wongtangman K. Incidence of inadequate pain treatment among ventilated, critically ill surgical patients in a Thai population. Pain Management Nursing. 2021;22(3):336-42.