Critical Illness Clinical Trial
Official title:
The Pain in Intensive Care Unit: An Experimental Research to Compare Behavioural Pain Scale (BPS) and Critical Care Pain Observation Tool (CPOT)
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:
1. to find the best method to evaluate the pain in critically ill patients;
2. to compare the perception of pain analysed trough CPOT and BPS;
3. to compare CPOT and BPS between medical and surgical patients.
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